| NPI | 1073588448 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOYCE GILLESPIE Administrator 417-887-5243 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MO 49-14) |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2020-08-22 |