| NPI | 1972555092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA D. MONSEES President 573-876-1620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: MO 111455) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2020-08-22 |