NPI | 1346966454 |
---|---|
Other Name | MISSOURI VALLEY PHYSICIANS AT FITZGIBBON |
Entity Type | Organization |
Authorized Contact | NANCY HARRIS CFO/COO 660-886-7431 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 207Q00000X Family Medicine |
207R00000X Internal Medicine | |
261Q00000X Clinic/Center | |
Enumeration Date | 2022-10-19 |
Last Update Date | 2024-03-05 |