| NPI | 1215187554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES M. WHITTICO COO 314-367-3400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: MO MDRO700) |
| Enumeration Date | 2008-09-23 |
| Last Update Date | 2008-09-23 |