| NPI | 1124404546 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN A THOMAS Owner 314-644-4555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: MO R8402) |
| Enumeration Date | 2015-08-07 |
| Last Update Date | 2015-08-07 |