| NPI | 1679228894 |
|---|---|
| Doing Business As | ASPEN GROVE PAIN MANAGEMENT |
| Entity Type | Organization |
| Authorized Contact | JAMES J OTTING Medical Director 567-408-7703 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2022-02-16 |
| Last Update Date | 2022-02-16 |