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 |