| NPI | 1083644561 |
|---|---|
| Doing Business As | SKAGGS FAMILY HEALTH CLINIC |
| Entity Type | Organization |
| Authorized Contact | WILLIAM K MAHONEY CEO 417-335-7270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO 52-53) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MO 52-53) |
| 207V00000X Obstetrics & Gynecology (Licence: MO 52-53) | |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2010-12-17 |