| NPI | 1043547474 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY A GODFREY President 417-556-8962 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| 208600000X Surgery | |
| Enumeration Date | 2009-11-05 |
| Last Update Date | 2015-07-02 |