| NPI | 1174231484 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRESTON KING Director 573-429-1313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
| Additional Taxonomies | 261QI0500X Clinic/Center, Infusion Therapy |
| 261QP3300X Clinic/Center, Pain | |
| Enumeration Date | 2022-11-07 |
| Last Update Date | 2023-06-22 |