NPI | 1306575121 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTOPHER HARTSHORN Officer/Authorized Official 314-800-2017 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
Enumeration Date | 2022-06-07 |
Last Update Date | 2024-10-11 |