| NPI | 1275556136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE CAMPBELL Administrator 573-634-7154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology (Licence: MO 108356) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2007-10-15 |