NPI | 1730173345 |
---|---|
Entity Type | Organization |
Authorized Contact | SIDNEY K GRIFFITH Board President 573-332-6000 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207R00000X Internal Medicine |
363LF0000X Nurse Practitioner, Family | |
Enumeration Date | 2005-09-09 |
Last Update Date | 2014-03-11 |