| NPI | 1972123347 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH JAYNE LANDERS Owner 785-424-3358 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine Pain Medicine |
| Additional Taxonomies | 207L00000X Anesthesiology |
| 208VP0014X Pain Medicine Interventional Pain Medicine | |
| Enumeration Date | 2020-04-25 |
| Last Update Date | 2021-06-14 |