| NPI | 1396471876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT MCCARVILLE Authorized Official 417-889-2040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Enumeration Date | 2022-07-27 |
| Last Update Date | 2022-07-27 |