| NPI | 1740858562 |
|---|---|
| Doing Business As | BIG TREE MEDICAL HOME |
| Entity Type | Organization |
| Authorized Contact | ADAM WHEELER CEO 573-673-5770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 207K00000X Allergy & Immunology | |
| 251S00000X | |
| Enumeration Date | 2021-06-17 |
| Last Update Date | 2023-01-04 |