| NPI | 1083982037 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JON C PARKS President 316-942-4519 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 261QP3300X Clinic/Center Pain |
| 293D00000X Physiological Laboratory | |
| Enumeration Date | 2011-12-06 |
| Last Update Date | 2022-11-11 |