| NPI | 1083088058 |
|---|---|
| Doing Business As | ADVANCED MEDICAL EXPRESS CLINIC |
| Entity Type | Organization |
| Authorized Contact | MICHAEL PAUL HOLTZ Owner/CEO/Provider 660-268-4006 |
| Organization Subpart ? | |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MO 2014033136) |
| Additional Taxonomies | 261QP2300X Clinic/Center Primary Care (Licence: MO 2014033136) |
| Enumeration Date | 2015-11-13 |
| Last Update Date | 2018-05-03 |