| NPI | 1548567142 |
|---|---|
| Doing Business As | IRON MOUNTAIN VEIN |
| Entity Type | Organization |
| Authorized Contact | EMMA DIPONIO President 855-834-6292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 202K00000X Phlebology (Licence: MI 4301076417) |
| Enumeration Date | 2011-02-16 |
| Last Update Date | 2014-01-29 |