| NPI | 1992418461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM WHEELER Owner 573-814-1170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2022-12-29 |
| Last Update Date | 2023-01-04 |