| NPI | 1265894778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW M BRUCKEL President 314-961-2255 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: MO 2005029371) |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2016-03-23 |