| NPI | 1376946210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRIE K WEITH Business Advisor 314-655-5558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2014-10-07 |
| Last Update Date | 2014-10-07 |