NPI | 1003076837 |
---|---|
Entity Type | Organization |
Authorized Contact | BETTY MCCOY Back Office Manager 417-623-5111 |
Organization Subpart ? | No |
Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: MO R8942) |
Enumeration Date | 2008-06-16 |
Last Update Date | 2021-01-22 |