NPI | 1720444334 |
---|---|
Entity Type | Organization |
Authorized Contact | TRACYE ENIS Billing Manager 501-771-4693 |
Organization Subpart ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
Enumeration Date | 2016-01-12 |
Last Update Date | 2016-01-12 |