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 |