| NPI | 1073775680 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MB MOORE Physician Owner 573-785-4731 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2008-06-26 |