| NPI | 1275545279 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER HARTSHORN Authorized Official 314-800-2017 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MO 149-1) |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2024-10-30 |