| NPI | 1669584041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN C CLAYPOLE Office Administrative Assistant 573-636-5248 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-08-22 |