NPI | 1407500085 |
---|---|
Doing Business As | COMPLETE FAMILY MEDICINE |
Entity Type | Organization |
Authorized Contact | ROB GASAWAY VP Of Finance 573-406-1609 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site |
Enumeration Date | 2022-02-11 |
Last Update Date | 2022-02-11 |