| NPI | 1053499228 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK C PINKERTON Office Manager 417-291-4321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: KS 0431141) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: KS 0431141) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2017-03-14 |