| NPI | 1508840901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRISH LEANNE KLEIN Office Manager 573-364-7545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 34425) |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2008-05-12 |