| NPI | 1154838209 |
|---|---|
| Doing Business As | OZARKS HEALTHCARE PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | BARRYLYN ULMANIS Provider Enrollment Coordinator 417-257-6792 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 261QR1300X Clinic/Center, Rural Health (Licence: MO 174-59) |
| Enumeration Date | 2018-01-10 |
| Last Update Date | 2020-11-12 |