| NPI | 1245533223 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STUART G. STANGELAND Executive Vice President, COO 417-820-6556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center Rural Health |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MO R2D64) |
| 363LF0000X Nurse Practitioner Family (Licence: MO 2015027435) | |
| Enumeration Date | 2010-12-13 |
| Last Update Date | 2017-02-07 |