| NPI | 1639263338 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID P BOSOMWORTH Owner 859-275-5229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2007-07-25 |