| NPI | 1750734927 |
|---|---|
| Doing Business As | PAIN DIAGNOSIS AND TREATMENT CENTER |
| Entity Type | Organization |
| Authorized Contact | RALPH LEE IRVIN President/ Physician 251-342-0001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine |
| 208VP0014X Pain Medicine, Interventional Pain Medicine | |
| Enumeration Date | 2016-07-22 |
| Last Update Date | 2016-08-09 |