| NPI | 1760705925 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY D DEFFENBAUGH President 417-782-4701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MO R6321) |
| Enumeration Date | 2010-03-02 |
| Last Update Date | 2010-03-11 |