| NPI | 1376851691 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PERIAPATNA S ANANTH Owner/Physician 913-530-2259 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine |
| Enumeration Date | 2010-09-21 |
| Last Update Date | 2010-09-21 |