| NPI | 1770773756 |
|---|---|
| Doing Business As | MEDICAL PARK FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | DAVID NEUENDORF CEO 573-582-8103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2007-07-26 |