| NPI | 1447906706 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEFANIE PAULUS Practice Manager 844-365-7246 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 208VP0000X Pain Medicine Pain Medicine |
| Enumeration Date | 2022-02-25 |
| Last Update Date | 2022-03-16 |