| NPI | 1013957562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHY EGHIGIAN Director, Credentialing Operations 314-273-0770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2018-08-15 |