| NPI | 1487012142 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD K MCNUTT President 573-659-4186 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: MO R7J08) |
| Enumeration Date | 2016-02-09 |
| Last Update Date | 2016-02-09 |