| NPI | 1912231648 |
|---|---|
| Doing Business As | THE CLINIC AT WAL-MART OPERATED BY COXHEALTH STORE # 4381 |
| Entity Type | Organization |
| Authorized Contact | DAVID P. TAYLOR Vice President Regional Services 417-269-4320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Enumeration Date | 2009-09-29 |
| Last Update Date | 2009-09-29 |