| NPI | 1164603973 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEESAG ARSHAM BARON President 417-861-5565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MO 107583) |
| Enumeration Date | 2007-11-20 |
| Last Update Date | 2008-03-03 |