| NPI | 1508193087 |
|---|---|
| Doing Business As | MEDICAL ONE CLINIC |
| Entity Type | Organization |
| Authorized Contact | T J KILLINGSWORTH Credentialing 417-681-5248 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Enumeration Date | 2009-11-04 |
| Last Update Date | 2016-05-03 |