| NPI | 1003980293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA WILLIAMS Insurance Specialist 417-887-5243 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: MO 49-15) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2020-08-22 |