| NPI | 1922070903 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MINA KAY MASSEY Md Owner 573-888-6100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2007-09-06 |