| NPI | 1619209251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BONNIE A. SANDERS Office Manager 573-581-2348 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO 27303) |
| Enumeration Date | 2010-02-08 |
| Last Update Date | 2010-04-19 |