| NPI | 1851496863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATU B PATEL Physician/Owner 660-425-3154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center Rural Health (Licence: MO R8C23) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2008-07-03 |