| NPI | 1164064168 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT R REYNOLDS CFO 417-820-2818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2019-10-10 |
| Last Update Date | 2019-10-10 |