| NPI | 1912903782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY JOAN AUGHENBAUGH Office Manager 501-975-5005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: AR E2047) |
| Enumeration Date | 2005-06-24 |
| Last Update Date | 2020-08-22 |