NPI | 1831269695 |
---|---|
Entity Type | Organization |
Authorized Contact | BRENDA LEE WILSON Insurance And Billing Specialist 573-815-9700 |
Organization Subpart ? | No |
Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine |
Enumeration Date | 2006-11-09 |
Last Update Date | 2020-08-22 |