| NPI | 1255634275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL ANN FOGARTY Owner 417-624-2621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MO 2003008358) |
| Enumeration Date | 2010-12-14 |
| Last Update Date | 2011-05-24 |