| NPI | 1619090404 |
|---|---|
| Other Name | PROFESSIONAL GROUP |
| Entity Type | Organization |
| Authorized Contact | TERRY W NICHOLS CEO 417-876-2511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282NC0060X General Acute Care Hospital, Critical Access |
| Additional Taxonomies | 207L00000X Anesthesiology |
| 207P00000X Emergency Medicine | |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| 208M00000X Hospitalist | |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2023-01-12 |