NPI | 1811028723 |
---|---|
Doing Business As | MERCY CLINIC FAMILY MEDICINE - ROLLA |
Entity Type | Organization |
Authorized Contact | ROBERT CAVAGNOL Chief Physician Officer 417-820-2705 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MO R5474) |
363LF0000X Nurse Practitioner, Family (Licence: MO 064070) | |
Enumeration Date | 2007-03-09 |
Last Update Date | 2018-12-04 |