NPI | 1073878450 |
---|---|
Doing Business As | AZURA VASCULAR CARE ST. LOUIS |
Entity Type | Organization |
Authorized Contact | GREGG MILLER SVP Operations 718-369-1444 |
Organization Subpart ? | No |
Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology |
Enumeration Date | 2012-07-11 |
Last Update Date | 2021-05-11 |