| NPI | 1396079711 |
|---|---|
| Doing Business As | GOOD SHEPHERD FAMILY CLINIC |
| Entity Type | Organization |
| Authorized Contact | STEPHANIE SUE OLSON Office Manager 417-335-5022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO 2007021133) |
| Enumeration Date | 2009-10-01 |
| Last Update Date | 2009-10-01 |