| NPI | 1063483816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL CHABOT Delegated Official 314-909-1359 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MO 105231) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MO 2005025486) |
| 207X00000X Orthopaedic Surgery (Licence: MO R8G14) | |
| 207X00000X Orthopaedic Surgery (Licence: MO R1F60) | |
| 207X00000X Orthopaedic Surgery (Licence: MO 112753) | |
| 207X00000X Orthopaedic Surgery (Licence: MO 2003002791) | |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2007-10-17 |