| NPI | 1477948842 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRISTAN JULIUS SHOCKLEY Medical Director 202-489-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation Pain Medicine (Licence: MD D008884) |
| Enumeration Date | 2015-04-02 |
| Last Update Date | 2022-11-01 |