| NPI | 1003081530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAYNE E PUTNAM Owner 417-358-1244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 2085B0100X Radiology, Body Imaging |
| 2085D0003X Radiology, Diagnostic Neuroimaging | |
| 2085N0904X | |
| 2085P0229X Radiology, Pediatric Radiology | |
| 2085R0203X Radiology, Therapeutic Radiology | |
| 2085R0204X Radiology, Vascular & Interventional Radiology | |
| 2085U0001X Radiology, Diagnostic Ultrasound | |
| Enumeration Date | 2008-04-25 |
| Last Update Date | 2008-05-07 |