| NPI | 1033141593 |
|---|---|
| Doing Business As | APPALACHIAN CLINIC |
| Entity Type | Organization |
| Authorized Contact | DEEPAK SRIVASTAVA President 660-487-9999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2019-11-05 |