| NPI | 1578673414 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA SHAWN BRASSFIELD Office Manager 417-256-2225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: MO MD 102941) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-05-19 |