| NPI | 1265476006 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARLA G QUALLS Practice Manager 573-636-0635 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2008-06-27 |