NPI | 1356444806 |
---|---|
Entity Type | Organization |
Authorized Contact | LISA BRASSFIELD Office Manager 417-256-2225 |
Organization Subpart ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology Pain Medicine (Licence: MO MD 102941) |
Enumeration Date | 2006-09-07 |
Last Update Date | 2010-06-15 |