| NPI | 1699799049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES SHILL CEO 573-471-0330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207W00000X Ophthalmology |
| 207Y00000X Otolaryngology | |
| 208000000X Pediatrics | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery | |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2017-06-15 |