NPI | 1932565942 |
---|---|
Doing Business As | PAIN MD |
Entity Type | Organization |
Authorized Contact | MARCUS GOMEZ Credentialing Manager 480-612-7480 |
Organization Subpart ? | No |
Primary Taxonomy | 171W00000X Contractor |
Enumeration Date | 2016-01-06 |
Last Update Date | 2018-01-25 |