NPI | 1215308945 |
---|---|
Entity Type | Organization |
Authorized Contact | DARREN HASKELL Chief Medical Officer 314-205-6444 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207K00000X Allergy & Immunology |
207L00000X Anesthesiology | |
207R00000X Internal Medicine | |
207T00000X Neurological Surgery | |
207V00000X Obstetrics & Gynecology | |
207X00000X Orthopaedic Surgery | |
208000000X Pediatrics | |
2081P2900X Physical Medicine & Rehabilitation Pain Medicine | |
208200000X Plastic Surgery | |
2084N0400X Psychiatry & Neurology Neurology | |
208600000X Surgery | |
2088F0040X Urology Female Pelvic Medicine and Reconstructive Surgery | |
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) | |
208VP0000X Pain Medicine Pain Medicine | |
Enumeration Date | 2015-10-07 |
Last Update Date | 2023-07-07 |