| NPI | 1780053033 |
|---|---|
| Doing Business As | JEFFERSON PAIN CLINIC |
| Entity Type | Organization |
| Authorized Contact | MARTIN KERNBERG Owner 707-464-1989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: CA 62629) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 62629) |
| Enumeration Date | 2015-09-16 |
| Last Update Date | 2015-09-16 |