| NPI | 1558989277 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIKKI LEIGH GAMBRILL President 913-717-0177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WP0000X Registered Nurse, Pain Management |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| 261QP3300X Clinic/Center, Pain | |
| 261QR0200X Clinic/Center, Radiology | |
| 207X00000X Orthopaedic Surgery | |
| Enumeration Date | 2020-07-09 |
| Last Update Date | 2022-08-02 |