| NPI | 1114548351 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA MAGILL President 314-422-9716 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery |
| Enumeration Date | 2020-04-28 |
| Last Update Date | 2023-02-03 |