NPI | 1285160382 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBIN ANN KUNDRA President 314-432-7272 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MO 2003011035) |
Enumeration Date | 2017-05-10 |
Last Update Date | 2017-05-10 |