| NPI | 1972367670 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK ADAMS Owner 479-234-4433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine |
| Additional Taxonomies | 207LP2900X Anesthesiology Pain Medicine |
| 208VP0000X Pain Medicine Pain Medicine | |
| Enumeration Date | 2024-02-12 |
| Last Update Date | 2024-10-07 |