| NPI | 1427350594 |
|---|---|
| Doing Business As | THE CLINIC AT WALMART |
| Entity Type | Organization |
| Authorized Contact | SUEANN WILLIAMS Clinic Administrator 573-624-1640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2010-11-23 |
| Last Update Date | 2010-11-23 |