| NPI | 1124293790 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMED ZIAD ABUDALU Director 314-647-5754 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: MO R6714) |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2008-04-24 |