| NPI | 1306931423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RALPH J DUDA Owner 417-879-6364 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2008-07-17 |