| NPI | 1427256007 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | T J KILLINGSWORTH Business Office Supervisor 417-232-5200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center Rural Health (Licence: MO 268624) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MO 101370) |
| 207V00000X Obstetrics & Gynecology (Licence: MO 105928) | |
| 207V00000X Obstetrics & Gynecology (Licence: MO 106158) | |
| 363LF0000X Nurse Practitioner Family (Licence: MO F0497088) | |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2015-05-26 |