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 |