| NPI | 1770911810 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW GRIFFITH President 866-303-9533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology Pain Medicine (Licence: CA G59013) |
| Additional Taxonomies | 111NS0005X Chiropractor Sports Physician (Licence: CA 31329) |
| 171100000X Acupuncturist (Licence: CA 14140) | |
| 2251X0800X Physical Therapist Orthopedic (Licence: CA 27729) | |
| Enumeration Date | 2013-10-29 |
| Last Update Date | 2013-11-05 |