| NPI | 1649815796 |
|---|---|
| Doing Business As | 180 HEALTH MEDICAL AND WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | TARA MEEK Owner 417-887-0340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2019-11-13 |
| Last Update Date | 2020-07-28 |