| NPI | 1508454125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRLEY DUFF Practice Manager 573-876-1600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine |
| Enumeration Date | 2021-01-08 |
| Last Update Date | 2021-01-08 |