| NPI | 1275766982 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL GRAY Administrator 573-886-4600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology |
| Additional Taxonomies | 207ZC0500X Pathology, Cytopathology |
| Enumeration Date | 2009-08-27 |
| Last Update Date | 2009-08-27 |