| NPI | 1063089795 |
|---|---|
| Doing Business As | RESTORE JOINT HEALTH |
| Entity Type | Organization |
| Authorized Contact | LISA STAUDT Director 402-670-7556 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261Q00000X |
| Enumeration Date | 2021-06-10 |
| Last Update Date | 2021-06-30 |