| NPI | 1801148499 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM J ROBERTS VP Finance 417-820-7363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085B0100X Radiology Body Imaging |
| Additional Taxonomies | 207RH0003X Internal Medicine Hematology & Oncology |
| 207RS0012X Internal Medicine Sleep Medicine | |
| 2085R0202X Radiology Diagnostic Radiology | |
| 2085U0001X Radiology Diagnostic Ultrasound | |
| Enumeration Date | 2012-10-08 |
| Last Update Date | 2021-02-16 |