| NPI | 1871715953 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA D GUTHRIE Office Manager 417-335-3636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: MO 109786) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2020-08-22 |