| NPI | 1730491416 |
|---|---|
| Doing Business As | THE CLINIC AT WALMART OPERATED BY COXHEALTH STORE #101 |
| Entity Type | Organization |
| Authorized Contact | DAVID P. TAYLOR Vice President 417-269-4320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family |
| Enumeration Date | 2010-07-09 |
| Last Update Date | 2010-07-09 |