| NPI | 1821640145 |
|---|---|
| Doing Business As | SAN DIEGO PAIN MANAGEMENT |
| Entity Type | Organization |
| Authorized Contact | ROBERT LEE WAGNER President 858-454-5442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
| Enumeration Date | 2019-07-16 |
| Last Update Date | 2020-01-07 |