| NPI | 1235439191 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY L GALLAHER Billing 573-335-1779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1200X Clinic/Center, Magnetic Resonance Imaging (MRI) |
| Enumeration Date | 2010-10-26 |
| Last Update Date | 2010-10-26 |