NPI | 1992335541 |
---|---|
Entity Type | Organization |
Authorized Contact | PHUONG NGUYEN Credentialing Specialist 425-774-1538 |
Organization Subpart ? | Yes |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
Enumeration Date | 2020-01-23 |
Last Update Date | 2020-01-23 |