| NPI | 1346865078 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLEN K KLUESNER Director Of Operations 314-540-6455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2020-06-09 |
| Last Update Date | 2022-03-07 |