| NPI | 1134295868 |
|---|---|
| Doing Business As | REGIONAL SERVICES |
| Doing Business As | NORTHSIDE PEDIATRICS & ADOLESCENTS |
| Entity Type | Organization |
| Authorized Contact | BROCK SHAMEL Vice President 417-269-4368 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2024-04-17 |