| NPI | 1336971860 |
|---|---|
| Doing Business As | NERVE RENEWAL YUKON |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY C BALES CEO/Owner 405-724-6902 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2024-08-14 |
| Last Update Date | 2024-08-14 |