| NPI | 1912916248 |
|---|---|
| Doing Business As | CENTRALIA MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | DAVID A. NEUENDORF President/CEO 573-582-8108 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208D00000X General Practice |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2008-02-15 |