| NPI | 1568524437 |
|---|---|
| Doing Business As | SOUTHEASTHEALTH FAMILY MEDICINE OF DEXER |
| Entity Type | Organization |
| Authorized Contact | PAULA E HARRIS Vice President Regional Operations 573-778-0020 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2014-09-22 |