| NPI | 1619059417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM SNIDER Office Manager 573-701-9600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MO R9B54) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2010-01-21 |