| NPI | 1245514959 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN E GOFF Owner 417-782-3600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: MO R7320) |
| Enumeration Date | 2011-09-30 |
| Last Update Date | 2011-10-06 |