| NPI | 1104047141 |
|---|---|
| Other Name | UNIVERSITY HEALTH SERVICES |
| Entity Type | Organization |
| Authorized Contact | NANCY MAGNUSON Asst. Vice Provost Student Affairs 314-516-5671 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 134958) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2020-08-22 |