| NPI | 1073793642 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY MCVEY Secretary/Treasurer 573-718-0181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MO R4N69) |
| Enumeration Date | 2007-11-12 |
| Last Update Date | 2013-10-16 |