| NPI | 1043493224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA R CHAMBERLIN Manager 314-644-2202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: MO 108988) |
| Enumeration Date | 2007-12-11 |
| Last Update Date | 2007-12-11 |