| NPI | 1366521429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID A MULLEN President 573-358-3343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MO 36676) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2020-08-22 |