| NPI | 1285744458 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DWAYNE E JONES President 913-961-1744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology Pain Medicine (Licence: MO 109157) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2022-06-02 |