| NPI | 1144291659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC SUTPHEN Delegated Official 314-525-1688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: MO R2P24) |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2009-06-10 |