| NPI | 1700017191 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARLA NEWBROUGH Office Manager 573-581-7040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: MO 36175) |
| Enumeration Date | 2009-08-03 |
| Last Update Date | 2009-08-03 |