| NPI | 1699933838 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN JAMES HOOKER Co Manager 573-302-1114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MO 2008006546) |
| Enumeration Date | 2008-05-23 |
| Last Update Date | 2008-11-10 |