| NPI | 1861577942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE MCCOY CFO/Office Manager 660-886-2842 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MO 105156) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2008-06-19 |