| NPI | 1447760954 |
|---|---|
| Doing Business As | PAIN MANAGEMENT OF LAS VEGAS |
| Entity Type | Organization |
| Authorized Contact | ELMA ZENAROSA Credentialing Specialist 702-324-9547 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X |
| Enumeration Date | 2017-10-10 |
| Last Update Date | 2017-12-21 |