| NPI | 1336314574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY JON MILLER President 563-424-0512 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain (Licence: IA 26118) |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2015-03-02 |