| NPI | 1962381723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE ARVESON Credentialing 316-281-3719 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine |
| Enumeration Date | 2025-08-27 |
| Last Update Date | 2025-08-27 |