| NPI | 1801155486 |
|---|---|
| Doing Business As | RENUVA BACK AND PAIN CENTER |
| Entity Type | Organization |
| Authorized Contact | MICHAEL GREEN Associate D.C. 913-667-2829 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 111N00000X Chiropractor |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2012-05-16 |
| Last Update Date | 2023-12-12 |