| NPI | 1700977626 |
|---|---|
| Doing Business As | TAHOE PAIN CENTER |
| Entity Type | Organization |
| Authorized Contact | MICHAEL E SHAPIRO Owner Of Company 775-689-5410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NV 6909) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2015-03-11 |