| NPI | 1659506749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI A CLAYPOOL Do/Owner 573-632-5533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MO 2002030699) |
| Enumeration Date | 2009-05-19 |
| Last Update Date | 2009-07-07 |