| NPI | 1598866097 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS J MARTIN Owner 573-441-2330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MO R6J89) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2010-02-25 |