| 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 |