| NPI | 1922137645 |
|---|---|
| Doing Business As | MERCY CLINIC PEDIATRICS-ROLLA |
| Entity Type | Organization |
| Authorized Contact | ROBERT CAVAGNOL Chief Physician Officer 417-820-2705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center Rural Health |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 108228) |
| 363LP0200X Nurse Practitioner Pediatrics (Licence: MO 146525) | |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2018-12-04 |