| NPI | 1104549948 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH KIRK SHEPPARD CEO 417-379-1176 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207YS0123X Otolaryngology, Facial Plastic Surgery |
| 207Q00000X Family Medicine | |
| 207YX0602X Otolaryngology, Otolaryngic Allergy | |
| 207RB0002X Internal Medicine, Bariatric Medicine | |
| Enumeration Date | 2022-09-26 |
| Last Update Date | 2025-09-25 |