| NPI | 1417035353 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE SCHWETTMAN Insurance/Billing 573-334-9641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO DOR3P08) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-08-22 |