| NPI | 1952934937 |
|---|---|
| Former Legal Business Name | TABLE ROCK FAMILY CARE CLINIC |
| Entity Type | Organization |
| Authorized Contact | CHARLES S RASMUSSEN Physician 417-459-1323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2020-02-18 |
| Last Update Date | 2021-02-23 |