| NPI | 1568886273 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALI KHOJASTEH Owner 573-442-6800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MO R9764) |
| Enumeration Date | 2014-02-17 |
| Last Update Date | 2014-02-17 |