| NPI | 1184710709 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE D. KOO Owner 314-984-8331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: MO 102697) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MO 2002007887) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2008-10-15 |