NPI | 1619333481 |
---|---|
Other Name | PROFESSIONAL URGENT CARE, LLC |
Entity Type | Organization |
Authorized Contact | DAVID LARUE Medical Director 417-206-0900 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261Q00000X (Licence: MO R9J48) |
Enumeration Date | 2016-01-11 |
Last Update Date | 2016-01-11 |