| NPI | 1285827428 |
|---|---|
| Doing Business As | SOUTHERN BOONE COUNTY FAMILY CARE |
| Entity Type | Organization |
| Authorized Contact | RAYMOND P DAVIDSON President 314-286-2028 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2007-08-21 |
| Last Update Date | 2008-01-04 |