NPI | 1043760184 |
---|---|
Entity Type | Organization |
Authorized Contact | GREGORY A TOBIN President 573-651-4488 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
Additional Taxonomies | 261Q00000X Clinic/Center |
Enumeration Date | 2016-10-13 |
Last Update Date | 2017-09-22 |