NPI | 1124091285 |
---|---|
Doing Business As | CAPITAL REGION PHYSICIANS - SOUTHWEST |
Entity Type | Organization |
Authorized Contact | TOM LUEBBERING VP Of Finance 573-632-5100 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 363L00000X Nurse Practitioner |
Enumeration Date | 2006-02-09 |
Last Update Date | 2013-08-23 |