| NPI | 1093957789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAVITHA KUNHIRAMAN Office Manager 636-333-9723 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MO 2004011002) |
| Enumeration Date | 2009-03-27 |
| Last Update Date | 2018-11-05 |