NPI | 1083380315 |
---|---|
Entity Type | Organization |
Authorized Contact | LANDON BESAND President/CEO 573-768-6986 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
261QU0200X Clinic/Center, Urgent Care | |
Enumeration Date | 2021-08-17 |
Last Update Date | 2022-05-05 |