| NPI | 1821166166 |
|---|---|
| Doing Business As | CHAMPLAIN SPINE & PAIN MGT |
| Entity Type | Organization |
| Authorized Contact | THIERRY BONNABESSE Owner/President 518-324-7246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: NY 231566) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2021-05-07 |