| NPI | 1972690121 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEVI PEARSON Owner 443-538-6457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: MD D0044512) |
| Enumeration Date | 2006-10-09 |
| Last Update Date | 2021-06-29 |