| NPI | 1558789628 |
|---|---|
| Doing Business As | INNOVATIVE PAIN CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | DANIEL BURKHEAD Owner 702-316-2281 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine |
| Enumeration Date | 2014-04-04 |
| Last Update Date | 2014-04-04 |