| NPI | 1154571974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER A PATE Office Manager 417-337-5500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: MO 118855) |
| Enumeration Date | 2008-09-29 |
| Last Update Date | 2019-09-17 |