| NPI | 1811275936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GENE LEVENSTEIN Clinic Director 267-292-3215 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: PA MD425455) |
| Enumeration Date | 2011-07-22 |
| Last Update Date | 2011-07-22 |