| NPI | 1821652686 |
|---|---|
| Doing Business As | RINCON PAIN AND SPINE |
| Entity Type | Organization |
| Authorized Contact | RANDALL S. PRUST President 520-731-5540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2019-04-26 |
| Last Update Date | 2019-04-26 |