| NPI | 1477751873 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN D CHRISTIANSEN President 417-881-8818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO r2c53) |
| Enumeration Date | 2007-07-06 |
| Last Update Date | 2012-09-10 |