| NPI | 1053747378 |
|---|---|
| Doing Business As | PEDIATRIC OTOLARYNGOLOGY |
| Entity Type | Organization |
| Authorized Contact | CATHY EGHIGIAN Director Managed Care Contracting 314-935-0770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2013-09-18 |
| Last Update Date | 2013-09-18 |