| NPI | 1205956661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLEY J RUSHING CEO 573-471-0330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207W00000X Ophthalmology | |
| 208000000X Pediatrics | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery | |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2009-09-28 |