NPI | 1215916911 |
---|---|
Other Name | HANNIBAL CLINIC @ BOWLING GREEN |
Entity Type | Organization |
Authorized Contact | MICHAEL J BUKSTEIN Physician Exec. Director 573-231-3172 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2006-01-11 |
Last Update Date | 2022-04-18 |