| NPI | 1801410865 |
|---|---|
| Doing Business As | BOTHWELL TLC PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | TERRI S MCCARTHY Director Clinic Financials 660-827-9407 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2020-06-04 |
| Last Update Date | 2020-06-04 |