| NPI | 1609390483 |
|---|---|
| Other Name | GCMC PAIN CLINIC |
| Entity Type | Organization |
| Authorized Contact | ROBERT C JACKSON Chief Executive Officer 724-450-7197 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: PA OS005324L) |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine (Licence: PA OS005324L) |
| Enumeration Date | 2017-08-02 |
| Last Update Date | 2017-08-02 |