| NPI | 1689681793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM ROSS MAYFIELD Member Manager 386-254-4029 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: FL ME0063660) |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2020-08-22 |