| NPI | 1366642936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT D CRAIG President 314-567-4868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology Otolaryngology/Facial Plastic Surgery (Licence: MO R9N78) |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2007-07-23 |