| NPI | 1407845472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL BURCHAM President, CEO 573-727-9080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology (Licence: MO NOT REQUIRED) |
| Additional Taxonomies | 261QM1200X Clinic/Center, Magnetic Resonance Imaging (MRI) (Licence: MO NOT REQUIRED) |
| 261QR0206X Clinic/Center, Radiology, Mammography (Licence: MO NOT REQUIRED) | |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2008-05-27 |