| NPI | 1033181474 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELINDA A CROCKETT-MAPLES Physician 417-820-2600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 103374) |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2012-04-24 |