| NPI | 1821966334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOB MILLER CEO 785-608-7659 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083S0010X Preventive Medicine, Sports Medicine |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2025-10-27 |
| Last Update Date | 2025-10-27 |