| NPI | 1154584308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES E THOMPSON Owner 417-256-3717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MO R5G97) |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2010-03-17 |