| NPI | 1801986567 |
|---|---|
| Doing Business As | NORTHSIDE PEDIATRICS & ADOLESCENTS |
| Entity Type | Organization |
| Authorized Contact | DAVID P TAYLOR Vice President 417-269-6262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2008-06-20 |