| NPI | 1497273106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARREN ALLISON Administrator 417-239-0125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO 2005019384) |
| Enumeration Date | 2017-09-01 |
| Last Update Date | 2022-07-21 |