| NPI | 1821074485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY ANN YOUNG Administrator 573-756-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MO 101-6) |
| Enumeration Date | 2005-12-15 |
| Last Update Date | 2021-11-18 |