| NPI | 1750460382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CALEB RANDALL SAWYER Sole Share Holder 417-777-2222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: MO 2006031059) |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2013-01-31 |