| NPI | 1659368348 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF H CRAWFORD Assistant Admin.Univ.Phys.Finance 573-882-7767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MO 000011878) |
| Enumeration Date | 2005-09-29 |
| Last Update Date | 2007-09-14 |