NPI | 1326131475 |
---|---|
Doing Business As | BOURBON CLINIC |
Entity Type | Organization |
Authorized Contact | TONY SCHWARM President 573-468-4186 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: MO 355-24) |
Enumeration Date | 2006-10-02 |
Last Update Date | 2021-03-23 |