| NPI | 1427501394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE LAUGHLIN Authorized Rep/Owner/Md 417-882-1818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology |
| Enumeration Date | 2016-07-27 |
| Last Update Date | 2016-10-13 |