| NPI | 1730605312 |
|---|---|
| Doing Business As | BACK TO LIFE LASER PAIN CENTER |
| Entity Type | Organization |
| Authorized Contact | RONALD EUGENE ADAMSON President 573-587-9046 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain |
| Enumeration Date | 2017-08-16 |
| Last Update Date | 2019-02-13 |