| 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 |