| NPI | 1477782092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE CAMPBELL Billing Manager 573-634-7155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology |
| Enumeration Date | 2009-07-02 |
| Last Update Date | 2009-07-02 |