| NPI | 1598188849 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID BULLOCK President 785-856-5440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: KS 0531368) |
| Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: KS 0531368) |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: KS 0531368) | |
| Enumeration Date | 2014-01-22 |
| Last Update Date | 2014-01-22 |