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 |