| NPI | 1902907967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA ELAINE STIXRUD Owner 573-441-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2004014283) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2004014283) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2009-12-30 |