NPI | 1467874982 |
---|---|
Doing Business As | ADVANCED SPINE & PAIN SPECIALISTS |
Entity Type | Organization |
Authorized Contact | WYNNDEL TODD BUENGER Managing Partner 618-541-8384 |
Organization Subpart ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
Enumeration Date | 2014-01-17 |
Last Update Date | 2014-01-28 |