| NPI | 1558323386 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUSTIN R TINSLEY Owner 573-686-1144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO 34610) |
| Additional Taxonomies | 261QR1300X Clinic/Center, Rural Health |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2011-11-02 |