| NPI | 1245692581 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEELI CHICOINE Administrator 402-413-5010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine |
| Enumeration Date | 2016-03-25 |
| Last Update Date | 2022-11-15 |