| NPI | 1124103247 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON SCHRUMPF CEO/President 573-472-7601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease |
| 208600000X Surgery | |
| 2086S0129X Surgery, Vascular Surgery | |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2015-03-03 |