| NPI | 1033409198 |
|---|---|
| Doing Business As | 4 CORNERS PAIN RELIEF INSTITUTE, LLC |
| Entity Type | Organization |
| Authorized Contact | JOHN KNUDSEN III Owner 417-624-4277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
| Enumeration Date | 2011-04-11 |
| Last Update Date | 2013-08-08 |