| NPI | 1003406539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY TINSLEY Owner 573-686-5510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 163WI0500X Registered Nurse, Infusion Therapy | |
| 208000000X Pediatrics | |
| 208100000X Physical Medicine & Rehabilitation | |
| 2085R0202X Radiology, Diagnostic Radiology | |
| 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2021-01-19 |
| Last Update Date | 2025-02-06 |