NPI | 1881819464 |
---|---|
Other Name | ROLLA URGENT CARE RURAL HEALTH CLINIC |
Entity Type | Organization |
Authorized Contact | OLUYOMI O OLUSANYA Owner/Del. Official 573-426-5900 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: 2002009086) |
Additional Taxonomies | 261QR1300X Clinic/Center, Rural Health |
363L00000X Nurse Practitioner (Licence: 124268) | |
Enumeration Date | 2007-04-17 |
Last Update Date | 2017-09-14 |