| NPI | 1780987750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET SULLIVAN Medical Director 573-999-1657 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2009003022) |
| Enumeration Date | 2010-12-14 |
| Last Update Date | 2010-12-14 |