| NPI | 1699586388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOBIAS MOELLER-BERTRAM President 800-285-3755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine Pain Medicine |
| Additional Taxonomies | 208VP0014X Pain Medicine Interventional Pain Medicine |
| 207LP2900X Anesthesiology Pain Medicine | |
| 2081P2900X Physical Medicine & Rehabilitation Pain Medicine | |
| Enumeration Date | 2025-01-14 |
| Last Update Date | 2025-03-02 |