| NPI | 1447541974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY J HINRICHS Owner 618-233-4458 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 111N00000X Chiropractor |
| 225100000X Physical Therapist | |
| Enumeration Date | 2011-05-02 |
| Last Update Date | 2011-05-02 |