| NPI | 1376875393 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID KURT WIPPERMAN President 314-872-7797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: MO 5660) |
| Enumeration Date | 2010-02-01 |
| Last Update Date | 2010-05-20 |