| NPI | 1487408241 |
|---|---|
| Doing Business As | WEST COAST PAIN MGT CENTER |
| Entity Type | Organization |
| Authorized Contact | BRIAN KELLY Owner 775-747-5050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine |
| Enumeration Date | 2024-04-16 |
| Last Update Date | 2024-06-11 |