| NPI | 1104106103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERI K ALLISON Owner/Manager 417-876-4771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QP2300X Clinic/Center Primary Care |
| 261QU0200X Clinic/Center Urgent Care | |
| Enumeration Date | 2011-08-22 |
| Last Update Date | 2011-08-22 |