| NPI | 1982727061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID M GUIDO Billing Manager 937-322-4911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2020-08-22 |