| NPI | 1306629894 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON GREGORY Owner, Director, Credentialing Mgr 417-469-7385 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 183500000X Pharmacist | |
| 183700000X Pharmacy Technician | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2023-08-17 |
| Last Update Date | 2025-06-12 |