| NPI | 1922111764 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PREETHI RAI Administator 814-454-4599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2007-09-05 |