| NPI | 1487789152 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOLORES J MCDOWELL Owner 573-334-7006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MO 119283) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MO 126562) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2011-10-19 |