NPI | 1194765685 |
---|---|
Entity Type | Organization |
Authorized Contact | CATHY L EGHIGIAN Sr Director, Managed Care 314-273-0770 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
Additional Taxonomies | 261Q00000X Clinic/Center |
Enumeration Date | 2006-06-07 |
Last Update Date | 2022-07-18 |