| NPI | 1083045686 |
|---|---|
| Doing Business As | FREEMAN NEOSHO PHYSICIAN GROUP |
| Entity Type | Organization |
| Authorized Contact | STEVEN W GRADDY CFO 417-347-6678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 208000000X Pediatrics | |
| 208600000X Surgery | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2013-12-06 |
| Last Update Date | 2016-05-03 |