| NPI | 1376847830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY A TOBIN President 573-651-4488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Enumeration Date | 2010-12-27 |
| Last Update Date | 2010-12-27 |