| NPI | 1609257773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID M. TONKIN Doctor 417-720-4991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2015-06-15 |
| Last Update Date | 2023-10-09 |