| NPI | 1710201868 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL BOURN Owner 614-459-0350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: OH 34007735) |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine (Licence: OH 34007735) |
| Enumeration Date | 2010-03-18 |
| Last Update Date | 2022-07-21 |