| NPI | 1598926677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLA SHERWOOD Operations Director 702-818-2825 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine |
| Enumeration Date | 2008-06-20 |
| Last Update Date | 2008-06-20 |