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 |