NPI | 1801910732 |
---|---|
Entity Type | Organization |
Authorized Contact | PAUL BENNETT JOHNSON Secretary 319-541-4219 |
Organization Subpart ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: CA A93613) |
Enumeration Date | 2007-03-17 |
Last Update Date | 2020-08-22 |