| NPI | 1194908632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVE D WEEMS Owner 417-773-0520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: MO 114747) |
| Enumeration Date | 2007-12-06 |
| Last Update Date | 2008-04-29 |