| NPI | 1528472636 |
|---|---|
| Former Legal Business Name | ALPHA OMEGA PAIN MEDICINE ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | WILLIAM GEORGE BROSE President 650-645-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CA G55824) |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2014-06-17 |