| NPI | 1588609929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATSY J GREEN Practice Manager 573-332-0226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MO 2004012760) |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2020-08-22 |