| NPI | 1922377274 |
|---|---|
| Doing Business As | INNOVATIVE SPORTS MEDICINE |
| Entity Type | Organization |
| Authorized Contact | JEREMY J REED President 417-882-0215 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine (Licence: MO 2007006893) |
| Enumeration Date | 2011-12-15 |
| Last Update Date | 2011-12-15 |