NPI | 1124437918 |
---|---|
Doing Business As | GOLDEN VALLEY MEDICAL - OSCEOLA |
Entity Type | Organization |
Authorized Contact | KYLE ADKINS Administrator 660-885-8171 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: MO 066060) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 066060) |
Enumeration Date | 2014-08-06 |
Last Update Date | 2014-08-07 |