NPI | 1134355563 |
---|---|
Doing Business As | SKAGGS ROARK VALLEY FAMILY MEDICINE |
Entity Type | Organization |
Authorized Contact | PETER R MARCELLUS Chief Medical Officer 417-335-7000 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO 52-51) |
Enumeration Date | 2009-05-29 |
Last Update Date | 2009-07-27 |