| NPI | 1245286210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES E PALEN Owner 573-335-0166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO 32836) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2000160642) |
| 207RN0300X Internal Medicine, Nephrology (Licence: MO 2000160642) | |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2025-09-11 |