| NPI | 1912014929 |
|---|---|
| Other Name | OUTPATIENT CLINIC |
| Entity Type | Organization |
| Authorized Contact | SHELLY HUNTER CFO 417-625-2459 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: KS H-063-004) |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2014-02-28 |