| NPI | 1710435045 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FLORENTINA MAYKO CEO 814-467-4055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine |
| Additional Taxonomies | 207LP2900X Anesthesiology Pain Medicine |
| 2081P2900X Physical Medicine & Rehabilitation Pain Medicine | |
| Enumeration Date | 2016-09-15 |
| Last Update Date | 2019-02-04 |