| NPI | 1578665451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASSAD U SHAFFIEY President 660-829-5852 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MO 115544) |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2020-08-22 |