| NPI | 1902263098 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEILA R HAM Chief Of Credentialing 573-596-0417 |
| Organization Subpart ? | No |
| Primary Taxonomy | 286500000X Military Hospital (Licence: IL 070.021481) |
| Enumeration Date | 2016-01-21 |
| Last Update Date | 2016-01-21 |