| NPI | 1275349086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLEN HUMPHRIES Credentialing 314-808-3227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| 207XS0106X Orthopaedic Surgery, Hand Surgery | |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine | |
| 207XX0005X Orthopaedic Surgery, Sports Medicine | |
| Enumeration Date | 2024-12-06 |
| Last Update Date | 2024-12-06 |