| NPI | 1831529379 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE LE President 304-919-2077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: PA MD425965) |
| Enumeration Date | 2013-11-20 |
| Last Update Date | 2020-07-30 |