| 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 |