NPI | 1881574861 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL MINCKLER Sole Member 520-800-6330 |
Organization Subpart ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
Enumeration Date | 2025-09-02 |
Last Update Date | 2025-09-02 |