| NPI | 1548422876 |
|---|---|
| Doing Business As | CENTER FOR PAIN MANAGEMENT |
| Entity Type | Organization |
| Authorized Contact | TAMMY R SHAFFER Administrator 702-474-0200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: AZ 26067) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: AZ 4873) |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ AP4247) | |
| Enumeration Date | 2008-06-27 |
| Last Update Date | 2014-02-18 |