| NPI | 1427481977 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYLE D HOMERTGEN Physician 541-602-4373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: OR DO151041) |
| Enumeration Date | 2013-08-19 |
| Last Update Date | 2013-08-19 |