| NPI | 1104821867 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES D HARMS Administrator 417-667-6015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2005-06-17 |
| Last Update Date | 2022-07-21 |