| NPI | 1972783058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID LEE CATHCART Owner 573-317-9200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MO 109547) |
| Enumeration Date | 2007-11-06 |
| Last Update Date | 2008-01-16 |