NPI | 1912023441 |
---|---|
Doing Business As | RODERIC C CRIST |
Entity Type | Organization |
Authorized Contact | RODERIC CLAYTON CRIST Doctor 573-339-0004 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO r2h52) |
Enumeration Date | 2007-03-22 |
Last Update Date | 2012-06-28 |