| NPI | 1972778579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HORACE L SCHNEIDER Medical Director 573-334-8870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2008-04-24 |