| NPI | 1215126677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARVETTA L CUNNINGHAM Office Manager 417-782-2190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Enumeration Date | 2007-10-22 |
| Last Update Date | 2007-10-22 |