| NPI | 1407389596 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAN T SULLIVAN President 417-864-8360 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MO r4804) |
| Enumeration Date | 2017-04-06 |
| Last Update Date | 2017-04-06 |