| NPI | 1295867968 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILMA TERPSTRA Office Manager 573-438-3660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MO 110137) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2008-05-13 |