| NPI | 1295062917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YVONNE MEDRANO LAYUGAN Physician 314-416-1926 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MO 2007021711) |
| Enumeration Date | 2009-11-17 |
| Last Update Date | 2011-05-03 |