| NPI | 1790348522 |
|---|---|
| Doing Business As | PAIN MANAGEMENT |
| Entity Type | Organization |
| Authorized Contact | LISA SIMPSON Manager 918-512-1462 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
| Additional Taxonomies | 207L00000X Anesthesiology |
| 208D00000X General Practice | |
| Enumeration Date | 2019-04-17 |
| Last Update Date | 2019-10-24 |