NPI | 1750316014 |
---|---|
Former Legal Business Name | MEDICAL ADVANCED PAIN SPECIALISTS P.A. |
Entity Type | Organization |
Authorized Contact | SANDFORD MATTHEW SCHOCKET CEO 763-537-6000 |
Organization Subpart ? | No |
Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine |
Enumeration Date | 2006-07-12 |
Last Update Date | 2024-05-17 |