| NPI | 1124246160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN GERARD BYRNE President 573-302-7138 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: MO DO107693) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2014-10-31 |