| NPI | 1659764595 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADFORD JOSEPH DAVIS Family Nurse Practitioner 573-776-0905 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282NR1301X General Acute Care Hospital, Rural (Licence: MO 2015006783) |
| Enumeration Date | 2015-03-17 |
| Last Update Date | 2015-03-17 |