| NPI | 1134291388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES SNIDER VP Physician Network 636-685-7804 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 207T00000X Neurological Surgery |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2021-10-21 |