NPI | 1831919612 |
---|---|
Entity Type | Organization |
Authorized Contact | STELLA C BAILEY Billing Manager 726-203-4561 |
Organization Subpart ? | Yes |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
Enumeration Date | 2024-10-15 |
Last Update Date | 2024-10-15 |