NPI | 1215066956 |
---|---|
Doing Business As | MERCY CLINIC-AGAPE FAMILY MEDICINE |
Entity Type | Organization |
Authorized Contact | ROBERT CAVAGNOL Chief Physician Officer 417-820-2705 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR1300X Clinic/Center Rural Health |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MO 105131) |
363A00000X Physician Assistant (Licence: MO 2002018364) | |
Enumeration Date | 2007-03-05 |
Last Update Date | 2018-12-04 |