| NPI | 1124263900 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABDOULAYE BAH Director Of Operations 573-445-3430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO 2000161132) |
| Enumeration Date | 2008-12-09 |
| Last Update Date | 2009-06-12 |