| NPI | 1861633307 |
|---|---|
| Doing Business As | INTERVENTIONAL SPINE AND PAIN MGMT. |
| Entity Type | Organization |
| Authorized Contact | BRETT LYNN BUTZ Owner/President 415-987-4921 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NM MD2009-0017) |
| Enumeration Date | 2009-03-12 |
| Last Update Date | 2021-03-11 |