NPI | 1992727986 |
---|---|
Entity Type | Organization |
Authorized Contact | THOMAS M MOWERY President 916-473-9426 |
Organization Subpart ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: CA G30638) |
Enumeration Date | 2006-07-25 |
Last Update Date | 2008-04-08 |