NPI | 1649536277 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL E JOSEPH Owner 417-624-0050 |
Organization Subpart ? | No |
Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: MO 104718) |
Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: MO 104718) |
Enumeration Date | 2012-04-09 |
Last Update Date | 2012-04-09 |