| NPI | 1841471901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID VELLING Owner 253-874-8774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: WA MD00040719) |
| Enumeration Date | 2007-11-16 |
| Last Update Date | 2019-10-28 |