| NPI | 1790151702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER DIANNE STELLING Owner 417-499-1503 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology Pain Medicine (Licence: MO 108124) |
| Enumeration Date | 2015-08-13 |
| Last Update Date | 2022-02-09 |