| NPI | 1558376335 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAISIMHA K IYENGAR Doctor 253-627-2666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: WA MD00036006) |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2015-07-24 |