| NPI | 1629630504 |
|---|---|
| Doing Business As | ACADEMIC PAIN & SPINE |
| Entity Type | Organization |
| Authorized Contact | ROBERT JAMES TRUITT Manager 267-282-6680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
| Enumeration Date | 2019-07-01 |
| Last Update Date | 2019-07-01 |