| NPI | 1700963501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWINA D RAINS Administrator 417-782-7722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2010-03-17 |