| NPI | 1386604908 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES B. MATTAX President 417-886-3937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: MO 94-7) |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2016-05-05 |