| NPI | 1154354835 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDY EUGENE BOWLES Owner 417-781-0224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2001017184) |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2009-11-17 |