| NPI | 1730483140 |
|---|---|
| Doing Business As | DBA BURTON CREEK MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | SONJA LEA STAUFFER Administrator 417-256-2111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology |
| Additional Taxonomies | 207K00000X Allergy & Immunology |
| Enumeration Date | 2010-12-28 |
| Last Update Date | 2015-09-10 |