| NPI | 1538501994 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARL G. HAYDEL President & CEO 888-836-7015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: LA 019061) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: LA 019061) |
| Enumeration Date | 2013-07-25 |
| Last Update Date | 2014-04-23 |