| NPI | 1124250931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD ARTHUR DEGRANGE CEO 314-251-3990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: MO 2009013842) |
| Enumeration Date | 2009-08-12 |
| Last Update Date | 2009-09-11 |