| NPI | 1124029293 |
|---|---|
| Doing Business As | INTEGRIS HEALTH MEDICAL GROUP WAYNOKA |
| Entity Type | Organization |
| Authorized Contact | DONNA WALLACE Assistant Treasurer 636-359-4890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2025-04-07 |