| NPI | 1164647657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN G STEWART Clinical Director 636-449-3990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology (Licence: MO LC0717282) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2012-04-24 |