| NPI | 1639686850 |
|---|---|
| Other Name | LIFT UP SOMEONE TODAY |
| Entity Type | Organization |
| Authorized Contact | PATRICIA ASHTON DERGES CEO/Owner 417-317-5330 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO 2017032792) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MO 2017017409) |
| 207Q00000X Family Medicine (Licence: MO 2017024744) | |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: MO 2017032792) | |
| Enumeration Date | 2018-01-09 |
| Last Update Date | 2018-03-17 |