| NPI | 1174965834 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT A KIRCHNER President 314-645-8719 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MO R3C11) |
| Enumeration Date | 2013-07-23 |
| Last Update Date | 2013-07-23 |