| NPI | 1770349615 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA ANNE CHACHERE Billing Manager 702-463-8548 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine |
| Enumeration Date | 2024-02-27 |
| Last Update Date | 2024-02-27 |