NPI | 1093802811 |
---|---|
Entity Type | Organization |
Authorized Contact | WALTER C DANDRIDGE Interim Chief Medical Officer 417-625-2232 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207R00000X Internal Medicine |
207RC0000X Internal Medicine, Cardiovascular Disease | |
207X00000X Orthopaedic Surgery | |
2084P0800X Psychiatry & Neurology, Psychiatry | |
231H00000X Audiologist | |
1223S0112X Dentist, Oral and Maxillofacial Surgery | |
204E00000X Oral & Maxillofacial Surgery | |
2080A0000X Pediatrics, Adolescent Medicine | |
Enumeration Date | 2006-10-05 |
Last Update Date | 2009-06-16 |