| NPI | 1104911288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY JOSEPH D'ANGELO Partner 314-821-5002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YS0123X Otolaryngology, Facial Plastic Surgery |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2022-07-21 |