| NPI | 1902834625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL ROTH VP Of Operations 417-269-3104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2025-06-18 |