| NPI | 1770507287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY S ZOLKOWSKI Physician / Owner 417-777-4749 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO D0101186) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2007-09-18 |