| NPI | 1275682627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER HARTSHORN Authorized Official 314-800-2017 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CO 16N603) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2024-09-06 |