NPI | 1043955503 |
---|---|
Doing Business As | SLUCARE PHYSICIAN GROUP |
Entity Type | Organization |
Authorized Contact | EILEEN M LAMM Vice President Finance 314-994-6219 |
Organization Subpart ? | No |
Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
Additional Taxonomies | 207ZC0500X Pathology, Cytopathology |
207ZI0100X Pathology, Immunopathology | |
Enumeration Date | 2022-04-29 |
Last Update Date | 2022-11-30 |