| NPI | 1811915234 |
|---|---|
| Doing Business As | SJR INTERVENTIONAL SPINE |
| Doing Business As | SJHP PHYSIATRY |
| Entity Type | Organization |
| Authorized Contact | KIM R HIPSHER-BYRD Cbo Director 505-609-2258 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| 208VP0014X Pain Medicine, Interventional Pain Medicine | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2023-03-20 |