NPI | 1982930749 |
---|---|
Entity Type | Organization |
Authorized Contact | LAURIE M ALLEN Owner 573-778-0500 |
Organization Subpart ? | No |
Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: MO CE 6097) |
Enumeration Date | 2009-10-28 |
Last Update Date | 2009-10-28 |