| NPI | 1245554815 |
|---|---|
| Doing Business As | HERITAGE MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | MARK D MATTHEWS Owner/Physician 417-635-1177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: MO 114771) |
| Enumeration Date | 2010-03-25 |
| Last Update Date | 2010-10-13 |