NPI | 1982892873 |
---|---|
Entity Type | Organization |
Authorized Contact | BRADLEY W. CARPENTIER President/Owner 831-759-8655 |
Organization Subpart ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: CA A76441) |
Enumeration Date | 2007-10-04 |
Last Update Date | 2008-06-25 |