| NPI | 1346513207 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY LEE PATRICK President 573-635-5264 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO R8640) |
| Enumeration Date | 2012-02-22 |
| Last Update Date | 2018-12-26 |