| NPI | 1407430317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN GRONER Owner / Md 509-591-4966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2021-05-06 |
| Last Update Date | 2021-05-06 |