| NPI | 1639344237 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL DAVID BALL Physician/Owner 417-926-3979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO R6B35) |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2008-08-12 |