| NPI | 1083029516 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN ALBERT PIEPER President 314-446-8500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: MO 2011033287) |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2014-06-23 |