| NPI | 1750661138 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JO A CRABTREE Owner 573-785-4600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: MO RN135427) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO RN135427) |
| Enumeration Date | 2011-08-17 |
| Last Update Date | 2016-07-28 |