| NPI | 1609284603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AKHTAR PURVEZ Owner 434-328-2774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: VA 0101232914) |
| Enumeration Date | 2014-07-23 |
| Last Update Date | 2019-09-16 |