| NPI | 1760781231 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA KELLER Administrator 707-528-3374 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: CA 0G272880) |
| Enumeration Date | 2011-03-23 |
| Last Update Date | 2011-03-23 |