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 |