| NPI | 1285986398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOE O'NEIL Practice Administrator 636-778-2900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: MO LC1262307) |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2012-10-12 |
| Last Update Date | 2025-11-17 |