| NPI | 1275679367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE ALM ANDERSON Owner 573-837-4494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine (Licence: GA 40857) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2011-12-14 |