| NPI | 1265615207 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | J THOMAS CRITCHLOW Owner 573-651-1882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: MO R6605) |
| Enumeration Date | 2007-12-13 |
| Last Update Date | 2012-06-20 |