NPI | 1841334166 |
---|---|
Entity Type | Organization |
Authorized Contact | MELENIE NACHIMSON Credentialing Specialist 405-775-9350 |
Organization Subpart ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: OK 19113) |
Enumeration Date | 2007-02-19 |
Last Update Date | 2012-12-19 |