| NPI | 1255820510 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINA SIMO Director Of Operations 314-308-7681 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207W00000X Ophthalmology | |
| 207X00000X Orthopaedic Surgery | |
| 207Y00000X Otolaryngology | |
| 208800000X Urology | |
| 261Q00000X Clinic/Center | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2018-05-02 |
| Last Update Date | 2022-03-17 |