NPI | 1265794911 |
---|---|
Entity Type | Organization |
Authorized Contact | KAREN O. WILSON Office Manager 636-536-7000 |
Organization Subpart ? | No |
Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
Enumeration Date | 2012-06-08 |
Last Update Date | 2012-10-10 |