| NPI | 1801601109 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA LINDENBERG VP Of Operations 209-442-6631 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2025-02-12 |
| Last Update Date | 2025-02-12 |