| NPI | 1962460089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL J CAMPBELL President 573-874-3300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MO 115722) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: MO 115722) |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2007-10-12 |