NPI | 1659526689 |
---|---|
Entity Type | Organization |
Authorized Contact | JULIE A. PAYNE Certified Billing & Coding Speciali 573-632-0010 |
Organization Subpart ? | No |
Primary Taxonomy | 2086S0129X Surgery Vascular Surgery |
Enumeration Date | 2008-11-18 |
Last Update Date | 2012-02-09 |