| NPI | 1396879961 |
|---|---|
| Doing Business As | DBA MISSOURI REHABILITATION CENTER-PHYSICIANS GROUP |
| Entity Type | Organization |
| Authorized Contact | MITCHELL L WASDEN CEO/COO 573-884-8738 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine |
| 207RP1001X Internal Medicine, Pulmonary Disease | |
| 208100000X Physical Medicine & Rehabilitation | |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2013-01-14 |