| NPI | 1275719627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | M DAVID EAST Owner 573-348-6700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: MO RIE24) |
| Enumeration Date | 2008-01-16 |
| Last Update Date | 2008-01-16 |