| NPI | 1316993256 |
|---|---|
| Doing Business As | ST. MARYS URGENT CARE AT THE LAKE |
| Entity Type | Organization |
| Authorized Contact | BRENT VAN CONIA President 573-761-7000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2008-10-28 |