| NPI | 1992339493 |
|---|---|
| Doing Business As | SUMMIT PAIN CLINIC |
| Entity Type | Organization |
| Authorized Contact | RAYMOND VUCETIC CEO 307-232-6600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Enumeration Date | 2020-02-24 |
| Last Update Date | 2020-08-05 |