NPI | 1750036174 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT MCCARVILLE Authorized Official 417-889-2040 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
Enumeration Date | 2022-02-14 |
Last Update Date | 2022-02-14 |