NPI | 1497349815 |
---|---|
Doing Business As | AVALA |
Entity Type | Organization |
Authorized Contact | CHRISTOPHER DANIEL President 985-809-9888 |
Organization Subpart ? | Yes |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology |
Enumeration Date | 2021-02-25 |
Last Update Date | 2021-02-25 |