| NPI | 1033481163 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH KEITH ESSMYER Sr Member 573-270-5092 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MO 31286) |
| Enumeration Date | 2012-02-06 |
| Last Update Date | 2012-02-06 |