| NPI | 1861487324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARIN M ROBERTS Administrator 573-334-9606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MO 4616) |
| Enumeration Date | 2005-09-12 |
| Last Update Date | 2009-04-16 |