| NPI | 1154912871 |
|---|---|
| Doing Business As | AUDRAIN COM CLINIC MONTGOMERY |
| Entity Type | Organization |
| Authorized Contact | AMY L OBRIEN CEO 573-582-5000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2021-01-27 |
| Last Update Date | 2022-06-23 |