| NPI | 1821175100 |
|---|---|
| Doing Business As | SPINAL DIAGNOSTICS & PAIN MANAGEMENT |
| Entity Type | Organization |
| Authorized Contact | MARK C MEYER Managing Agent 719-448-0981 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2023-03-07 |