| NPI | 1194159053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GURPREET PADDA Owner 314-481-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: MO 100572) |
| Enumeration Date | 2013-08-28 |
| Last Update Date | 2013-08-28 |