| NPI | 1558766006 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT EDWIN BENEDETT Retina Specialist 417-830-0889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: MO MDR3K52) |
| Enumeration Date | 2014-10-27 |
| Last Update Date | 2014-10-27 |