| NPI | 1023555695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THURSTON D MCMILLEN President/CEO 308-631-8345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: FL ME112409) |
| Enumeration Date | 2017-01-20 |
| Last Update Date | 2017-01-20 |