| NPI | 1326422577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN E MUNSCH DAL FARRA Owner 314-801-8898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 101Y00000X Counselor |
| 1041C0700X Social Worker, Clinical | |
| 111N00000X Chiropractor | |
| 163W00000X Registered Nurse | |
| 207R00000X Internal Medicine | |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 247100000X Radiologic Technologist | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2015-07-17 |
| Last Update Date | 2019-02-18 |