| NPI | 1073811345 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG W. NAUGLE Physician/Owner 417-889-3332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MO 2002004006) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MO 2007005538) |
| Enumeration Date | 2011-03-10 |
| Last Update Date | 2011-03-10 |