| NPI | 1740420231 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TALHA SIDDIQUI Director 804-832-3424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: VA 0101233817) |
| Enumeration Date | 2009-02-24 |
| Last Update Date | 2015-09-28 |