| NPI | 1386696458 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER HARTSHORN Officer/Authorized Official 314-800-2017 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0800X Clinic/Center, Endoscopy |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2024-09-17 |