NPI | 1942253075 |
---|---|
Doing Business As | INNOVATIVE PAIN CARE CENTER |
Entity Type | Organization |
Authorized Contact | DANIEL L BURKHEAD Owner 702-316-2281 |
Organization Subpart ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: NV 9100) |
Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine |
207LP2900X Anesthesiology, Pain Medicine | |
Enumeration Date | 2006-05-18 |
Last Update Date | 2017-03-09 |