| NPI | 1801568910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDRA MARIE RISTOW Lead Primary Care Physician 573-999-7137 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2021-09-28 |
| Last Update Date | 2022-08-02 |