NPI | 1144557620 |
---|---|
Doing Business As | GOLDEN CITY CLINIC |
Entity Type | Organization |
Authorized Contact | T J KILLINGSWORTH Credentialing 417-681-5248 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice |
Enumeration Date | 2009-11-04 |
Last Update Date | 2016-04-19 |