| NPI | 1043462591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANESSA ADAMS Owner/Provider 573-686-4750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2008-10-15 |
| Last Update Date | 2024-10-16 |