| NPI | 1922510361 |
|---|---|
| Doing Business As | BLOSSOM PAIN MANAGEMENT |
| Entity Type | Organization |
| Authorized Contact | RUTH ANN WATSON Executive Director 757-819-7547 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| 207RS0010X Internal Medicine, Sports Medicine | |
| Enumeration Date | 2017-10-25 |
| Last Update Date | 2022-01-04 |