| NPI | 1760829303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ANTHONY DEMANGONE President 440-944-1414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: OH 35071438D) |
| Enumeration Date | 2013-05-22 |
| Last Update Date | 2013-05-22 |