| NPI | 1902909559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY A HUTCHINSON Owner /President 660-258-2536 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO 30110) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: MO 30110) |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2007-12-17 |