| NPI | 1184804197 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN M DAILEY President 636-239-0018 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MO 000689) |
| Enumeration Date | 2007-11-07 |
| Last Update Date | 2007-11-07 |