| NPI | 1184908246 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM GARDNER HART Physician 314-251-6250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
| 207YS0123X Otolaryngology, Facial Plastic Surgery | |
| 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck | |
| 2082S0099X Plastic Surgery, Plastic Surgery Within the Head and Neck | |
| 2082S0105X Plastic Surgery, Surgery of the Hand | |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery | |
| Enumeration Date | 2011-10-06 |
| Last Update Date | 2011-10-06 |