| NPI | 1265495642 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | POPPY DANIELS Owner 573-776-7740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: MO 2003010408) |
| Enumeration Date | 2006-04-07 |
| Last Update Date | 2020-08-22 |