| NPI | 1689666315 |
|---|---|
| Former Legal Business Name | PAIN CARE GROUP, INC. |
| Entity Type | Organization |
| Authorized Contact | WES PROKOP President 610-642-3527 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
| Enumeration Date | 2005-08-18 |
| Last Update Date | 2020-08-22 |