| NPI | 1104804699 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT E CHRISTIAN Administrator 573-778-7210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| 208000000X Pediatrics | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2006-01-04 |
| Last Update Date | 2012-03-22 |