| NPI | 1528830163 |
|---|---|
| Doing Business As | INTEGRIS HEALTH MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | DONNA WALLACE Assistant Treasurer 636-359-4890 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center Rural Health |
| Enumeration Date | 2023-10-26 |
| Last Update Date | 2023-12-21 |