| NPI | 1376380659 |
|---|---|
| Doing Business As | BOONE HEALTH PRIMARY CARE - MEDICAL PARK |
| Entity Type | Organization |
| Authorized Contact | JARED LONG Administrator 573-815-6245 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2024-07-12 |
| Last Update Date | 2024-07-12 |