| NPI | 1750507398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYLE L KLIPPER Manager 417-753-9404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: MO R9D75) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2011-07-22 |