| NPI | 1598506974 |
|---|---|
| Doing Business As | FIVE RIVERS MEDICAL PAIN MANAGEMENT PROFESSIONAL SERVICES |
| Doing Business As | ST. BERNARDS FIVE RIVERS MEDICAL CENTER PAIN MANAGEMENT |
| Entity Type | Organization |
| Authorized Contact | RANDALL DEWAYNE BARYMON CEO 870-892-6200 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
| Enumeration Date | 2024-06-01 |
| Last Update Date | 2024-08-16 |