| NPI | 1982625877 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY ELWING President/Authorized Official 573-864-6475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2017-05-24 |