| NPI | 1821270620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDALL CURTIS BARNES Physician/Owner 573-365-7756 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: MO R3A38) |
| Enumeration Date | 2007-12-04 |
| Last Update Date | 2007-12-04 |