| NPI | 1295207587 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA E LEHRMANN Administrator 314-566-0882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2018-12-26 |
| Last Update Date | 2019-02-12 |