| NPI | 1184740292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HESTER B HANDY Administrativi 573-276-3640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: MO 393-6116) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2008-07-21 |