NPI | 1790971976 |
---|---|
Entity Type | Organization |
Authorized Contact | BRADLEY R BURNETT Vice President 417-621-0500 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MO 207-0) |
Enumeration Date | 2007-09-20 |
Last Update Date | 2007-12-07 |