| NPI | 1780867341 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA R. LUECKENHOFF Owner/Physician 573-638-2478 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO R3D22) |
| Enumeration Date | 2007-12-06 |
| Last Update Date | 2007-12-06 |