| NPI | 1811182652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDERICK M. WILSON President 573-642-4242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 113229) |
| Enumeration Date | 2007-09-13 |
| Last Update Date | 2007-09-13 |