NPI | 1881901189 |
---|---|
Entity Type | Organization |
Authorized Contact | COLIN E BAILEY Owner 573-302-0032 |
Organization Subpart ? | No |
Primary Taxonomy | 202K00000X Phlebology (Licence: HI 15676) |
Additional Taxonomies | 2086S0129X (Licence: HI 15676) |
Enumeration Date | 2010-09-08 |
Last Update Date | 2010-09-08 |