| NPI | 1982055737 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAPHNE G GOLDING Physician 267-639-2555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: PA MD052979L) |
| Enumeration Date | 2016-06-23 |
| Last Update Date | 2016-06-23 |