| NPI | 1104129733 |
|---|---|
| Doing Business As | MEDICAL ONE SATELLITE CLINIC |
| Entity Type | Organization |
| Authorized Contact | TJ ALLEN Clinic Business Coordinator 417-681-0214 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO R8N54) |
| Additional Taxonomies | 208600000X Surgery |
| Enumeration Date | 2010-12-21 |
| Last Update Date | 2011-03-22 |