| NPI | 1154650331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAHID KARIM CHOUDHARY Presedent 573-785-0889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: MO 104541) |
| Enumeration Date | 2009-12-16 |
| Last Update Date | 2015-03-11 |