| 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 |