NPI | 1396175188 |
---|---|
Doing Business As | DBA TRADEWINDS PALLIATIVE CARE |
Entity Type | Organization |
Authorized Contact | PHILLIP M BEYER CEO/President 573-783-7625 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
Enumeration Date | 2013-11-15 |
Last Update Date | 2013-11-15 |