| 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 |