| NPI | 1144451063 |
|---|---|
| Doing Business As | PHYSICIANS PARK PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | CAROLYN CRITES Administrator 573-727-5500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2009-07-28 |
| Last Update Date | 2009-07-28 |