NPI | 1639359250 |
---|---|
Entity Type | Organization |
Authorized Contact | EDWARD GWIN Owner 417-883-0487 |
Organization Subpart ? | No |
Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: MO R5222) |
Additional Taxonomies | 261Q00000X Clinic/Center (Licence: MO R5222) |
Enumeration Date | 2007-11-12 |
Last Update Date | 2007-11-12 |