| NPI | 1598373359 |
|---|---|
| Doing Business As | OMC/ZIZZER CLINIC |
| Entity Type | Organization |
| Authorized Contact | BARRYLYN ULMANIS Provider Enrollment Coordinator 417-257-6792 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2020-07-17 |
| Last Update Date | 2020-07-17 |