| NPI | 1457655748 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD JAMES STORK President, CEO 3143-953-6356 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: MO 2008006962) |
| Enumeration Date | 2010-12-31 |
| Last Update Date | 2010-12-31 |