| NPI | 1477091890 |
|---|---|
| Doing Business As | BOOTHEEL FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | KERRY NOBLE CEO 573-359-3612 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2017-02-06 |
| Last Update Date | 2017-02-06 |