| NPI | 1114794286 |
|---|---|
| Doing Business As | MID-MISSOURI DIABETES & ENDOCRINOLOGY |
| Entity Type | Organization |
| Authorized Contact | PAMELA DODGE Practice Manager 573-499-0642 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2023-12-07 |
| Last Update Date | 2023-12-07 |