| NPI | 1922362334 |
|---|---|
| Doing Business As | ACTIVECARE MEDICAL |
| Entity Type | Organization |
| Authorized Contact | RAYMOND S NANKO Owner 765-288-3276 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: IN 01045371A) |
| Enumeration Date | 2012-06-29 |
| Last Update Date | 2015-05-29 |