| NPI | 1902878143 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY V GRAHAM Owner 573-364-3205 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: MO R3M43) |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2009-03-31 |