| NPI | 1427021765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVAN EUGENE MILTON Director Athletic Training Services 417-836-5461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2020-08-22 |