| NPI | 1265941611 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH REID RITCHIE Owner 314-913-0625 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 261QR0207X Clinic/Center, Radiology, Mobile Mammography |
| Enumeration Date | 2017-09-28 |
| Last Update Date | 2017-10-31 |