| NPI | 1194890574 |
|---|---|
| Doing Business As | PEDIATRIC SPECIALTY CLINIC |
| Entity Type | Organization |
| Authorized Contact | DAVID P TAYLOR Vice President 417-269-6262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2012-04-27 |