NPI | 1669422978 |
---|---|
Entity Type | Organization |
Authorized Contact | THOMAS ANDRE BROOKS President 417-861-4228 |
Organization Subpart ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: MO 2002021763) |
Enumeration Date | 2006-05-10 |
Last Update Date | 2020-08-22 |