| NPI | 1518286707 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | C BRET BOWLING Owner 417-235-0088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MO 105867) |
| Enumeration Date | 2010-05-27 |
| Last Update Date | 2010-05-27 |