| NPI | 1083705529 |
|---|---|
| Doing Business As | FAMILY WALK-IN CLINIC OF MTN. GROVE, INC. |
| Entity Type | Organization |
| Authorized Contact | KENNETH H DUGAN Vice President 417-926-3743 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2014-11-12 |