| 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 |