NPI | 1255546990 |
---|---|
Entity Type | Organization |
Authorized Contact | JULIA M ZEVALLOS Owner 636-931-6090 |
Organization Subpart ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MO 2000160887) |
Enumeration Date | 2007-05-14 |
Last Update Date | 2008-06-10 |