| NPI | 1396305348 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYDIA LYNN THOMAS Billing Director 314-991-7707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine |
| Enumeration Date | 2019-06-20 |
| Last Update Date | 2019-06-20 |