| NPI | 1235168980 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY A BRENNER Director 314-251-5860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: MO 2000169319) |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2020-08-22 |