| NPI | 1659431443 |
|---|---|
| Doing Business As | LAS VEGAS PAIN INSTITUTE AND MEDICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | GODWIN O MADUKA Medical Director 702-880-4193 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: NV 2000268 650) |
| Additional Taxonomies | 111N00000X Chiropractor |
| 225100000X Physical Therapist | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2021-10-22 |