NPI | 1619119609 |
---|---|
Doing Business As | THE CLINIC AT WALMART OPERATED BY COXHEALTH STORE # 379 |
Entity Type | Organization |
Authorized Contact | DAVID P TAYLOR Vice President 417-269-4320 |
Organization Subpart ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner |
Enumeration Date | 2009-04-06 |
Last Update Date | 2009-04-06 |