| NPI | 1447625918 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL B JUERGENS Owner/Provider 573-575-6440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: IL 036067084) |
| Enumeration Date | 2015-12-09 |
| Last Update Date | 2015-12-09 |