| NPI | 1477068815 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA MARIE GRIFFITH Nurse And Office Manager 620-532-4379 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| 261QP3300X Clinic/Center, Pain | |
| Enumeration Date | 2017-12-07 |
| Last Update Date | 2017-12-07 |