| NPI | 1821101189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEANN R EDELSTEIN Practice Manager 417-869-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MO 114662) |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2020-02-03 |