| NPI | 1508906165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS MURL GALLEMORE Clinic Manager 417-455-2883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO 102015) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2020-08-22 |