| NPI | 1306120183 |
|---|---|
| Doing Business As | SLUCARE DEPT OF FCM SPORTS MEDICINE |
| Entity Type | Organization |
| Authorized Contact | ALYCE LANXON Executive Director 314-977-6828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine |
| Enumeration Date | 2011-09-28 |
| Last Update Date | 2021-09-21 |