NPI | 1790108025 |
---|---|
Doing Business As | ADVANCED PRACTICE CLINIC |
Entity Type | Organization |
Authorized Contact | CARL SMITH Family Nurse Practitioner 417-781-2046 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MO 2012028469) |
Enumeration Date | 2014-01-22 |
Last Update Date | 2014-04-14 |