| NPI | 1982474367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES WILLIAM ZIELINSKI Owner 573-657-2500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service |
| Additional Taxonomies | 261QC1500X Clinic/Center Community Health |
| 261QP2000X Clinic/Center Physical Therapy | |
| 261QP2300X Clinic/Center Primary Care | |
| 261QR0200X Clinic/Center Radiology | |
| 261QR1300X Clinic/Center Rural Health | |
| Enumeration Date | 2024-01-05 |
| Last Update Date | 2024-01-05 |