| NPI | 1871058339 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL DONALD DANKO Md CEO 513-454-7246 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2019-02-08 |
| Last Update Date | 2019-10-07 |