| NPI | 1689614646 |
|---|---|
| Doing Business As | PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | JEFFREY LEE PATRICK President 573-635-5264 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2023-05-09 |