| NPI | 1518547769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRK BOWDEN Owner 937-206-0377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine Pain Medicine |
| Additional Taxonomies | 207L00000X Anesthesiology |
| 207LP2900X Anesthesiology Pain Medicine | |
| 208VP0014X Pain Medicine Interventional Pain Medicine | |
| Enumeration Date | 2021-04-12 |
| Last Update Date | 2022-12-30 |