| NPI | 1770555492 |
|---|---|
| Former Legal Business Name | PAIN MANAGEMENT MEDICINE |
| Doing Business As | WELLWARD REGENERATIVE MEDICINE |
| Entity Type | Organization |
| Authorized Contact | DANESH MAZLOOMDOOST Medical Director 859-275-4878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 2084P2900X Psychiatry & Neurology, Pain Medicine | |
| 225100000X Physical Therapist | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2024-07-18 |