| NPI | 1033440342 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKI JO ROUTON Practice Manager 573-392-9200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO R5n38) |
| Enumeration Date | 2010-01-26 |
| Last Update Date | 2010-01-26 |