| NPI | 1215264817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY A GODFREY President 417-556-8962 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| 207V00000X Obstetrics & Gynecology | |
| 208600000X Surgery | |
| Enumeration Date | 2009-11-03 |
| Last Update Date | 2015-04-20 |