| NPI | 1790969301 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT E MCCARVILLE Administrator 417-889-2040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2007-12-19 |
| Last Update Date | 2009-02-09 |