| NPI | 1467564039 |
|---|---|
| Doing Business As | CHERRYVALE FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | SHELLY HUNTER CFO 417-625-2459 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: KS 1500335) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: KS 1500335) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2015-09-25 |