| NPI | 1942542063 |
|---|---|
| Doing Business As | SOUTHEASTHEALTH FAMILY MEDICINE OF DONIPHAN |
| Entity Type | Organization |
| Authorized Contact | PAULA HARRIS Vice President Regional Operations 573-651-5524 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2013-03-27 |