| NPI | 1023167236 |
|---|---|
| Doing Business As | PREMIER FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | WILLIAM K MAHONEY Chief Executive Officer 417-335-7270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2010-03-25 |