| NPI | 1588667208 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA SMITH Asc Director 417-886-3900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MO 118.6) |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2022-12-15 |