| NPI | 1689009011 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARL HENRY SMITH Family Nurse Practitioner 417-781-2046 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MO 2012028469) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: MO 2012028473) |
| Enumeration Date | 2013-09-04 |
| Last Update Date | 2013-09-04 |