| NPI | 1386778660 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY W MARTIN Physician, Owner 314-434-0030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2014-10-14 |