| NPI | 1356068605 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN BROCK SHAMEL Vice President 417-269-4368 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine Geriatric Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2022-10-26 |
| Last Update Date | 2025-06-18 |