| NPI | 1295471811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE COOLEY Supervisor Credentialing And Billin 417-989-0140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QI0500X Clinic/Center, Infusion Therapy |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology |
| 261Q00000X Clinic/Center | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2022-05-06 |
| Last Update Date | 2025-04-17 |