NPI | 1205241361 |
---|---|
Doing Business As | TOTAL JOINT CENTER OF ST. LOUIS |
Entity Type | Organization |
Authorized Contact | JENETHA D MORAN Officer / Authorized Official 972-763-3893 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
Enumeration Date | 2014-06-27 |
Last Update Date | 2017-09-20 |