| NPI | 1730469693 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD A MARTIN Owner Physician 573-335-6163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: MO R8494) |
| Enumeration Date | 2011-08-24 |
| Last Update Date | 2011-10-11 |