| NPI | 1093828584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIA A MESTON Administrator 573-442-2299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2014-09-24 |