| NPI | 1295733103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROY P NERMARK Physician 417-335-2080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MO 35042) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2008-09-24 |