| NPI | 1992984967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT W SPARKS Physician/Owner 660-627-1560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO R9D41) |
| Enumeration Date | 2007-10-26 |
| Last Update Date | 2010-08-16 |