| NPI | 1477546687 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOWELL SCHOENGARTH Medical Director 573-499-1150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MO 116-2) |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2008-04-20 |