| NPI | 1073509733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA M. WORLEY Administrator 417-256-1400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MO 160-0) |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2015-07-10 |