NPI | 1609655323 |
---|---|
Doing Business As | ZIVAMED PRIMARY CARE |
Entity Type | Organization |
Authorized Contact | AMANDA SHURTZ CEO 573-570-3555 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 363A00000X Physician Assistant |
363L00000X Nurse Practitioner | |
363LF0000X Nurse Practitioner, Family | |
363LP2300X Nurse Practitioner, Primary Care | |
Enumeration Date | 2023-09-22 |
Last Update Date | 2023-11-30 |