| NPI | 1124237227 |
|---|---|
| Doing Business As | PHELPS HEALTH MEDICAL GROUP ROLLA |
| Entity Type | Organization |
| Authorized Contact | JANA M COOK VP, Chief Financial Officer 573-458-7916 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2023-11-22 |