| NPI | 1306155668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARTHUR GEORGE BENTLEY Owner/Operator 417-256-7137 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO DO34955) |
| Enumeration Date | 2010-10-04 |
| Last Update Date | 2010-10-19 |