NPI | 1407052616 |
---|---|
Doing Business As | SWEETEN MEDICAL CLINIC |
Entity Type | Organization |
Authorized Contact | TINA RENE SWEETEN Manager 417-540-6798 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2007032918) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OK 12749) |
Enumeration Date | 2007-06-25 |
Last Update Date | 2017-04-25 |