| NPI | 1912950585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROCHELLE MYERS Revenue Cycle Manager 573-550-1028 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2025-05-22 |