NPI | 1588850234 |
---|---|
Doing Business As | CEDAR VALLEY PAIN CLINIC |
Entity Type | Organization |
Authorized Contact | GILMORE J. IREY CEO 319-235-5390 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2007-09-17 |
Last Update Date | 2008-11-17 |