| NPI | 1417216938 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY A GODFREY President 417-556-8962 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease |
| 207Q00000X Family Medicine | |
| 207V00000X Obstetrics & Gynecology | |
| Enumeration Date | 2012-05-04 |
| Last Update Date | 2015-07-02 |