| NPI | 1609021260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL GROFT Official 888-847-5971 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: GA CHIR007566) |
| Enumeration Date | 2008-11-24 |
| Last Update Date | 2008-12-26 |