| NPI | 1275138851 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG KISER Owner 314-703-5618 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2020-12-02 |
| Last Update Date | 2020-12-02 |