| NPI | 1073676755 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH SUE WILLIAMS Office Manager 314-569-9413 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2008-03-03 |