| NPI | 1245510221 |
|---|---|
| Doing Business As | HANNIBAL REGIONAL MEDICAL GROUP THE CLINIC AT WALMART |
| Entity Type | Organization |
| Authorized Contact | STEPHEN J KEPPNER Grp Dir Patient Financial Service 573-248-5460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2011-08-23 |
| Last Update Date | 2011-08-23 |