| NPI | 1194834077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUEY DUANE TEWIS President 573-335-0185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine |
| 207LP2900X Anesthesiology, Pain Medicine | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-08-22 |