| NPI | 1790173243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH HOLT Practice Administrator 573-334-3074 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MO LC001429408) |
| Enumeration Date | 2015-01-07 |
| Last Update Date | 2015-01-07 |