| NPI | 1013241363 |
|---|---|
| Doing Business As | SKAGGS SOUTH POINTE MEDICAL CARE |
| Entity Type | Organization |
| Authorized Contact | PETER R MARCELLUS Chief Medical Officer 417-335-7217 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO 2000160620) |
| Enumeration Date | 2009-09-18 |
| Last Update Date | 2009-09-21 |