| NPI | 1457727752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID M TONKIN Owner 417-848-9188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2015-08-20 |
| Last Update Date | 2020-07-16 |