| NPI | 1467518464 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RIOHARD MARTIN SECOR President Physician 573-431-4510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO R9A44) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MS 10179) |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2020-08-22 |