| NPI | 1407135130 |
|---|---|
| Doing Business As | HANNIBAL REGIONAL MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | DIX ROGER CFO 573-248-1300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046009247) |
| Enumeration Date | 2011-08-11 |
| Last Update Date | 2014-11-06 |