NPI | 1396796595 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTOPHER ROTHROCK President 314-878-7150 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MO 180-0) |
Enumeration Date | 2006-05-12 |
Last Update Date | 2008-03-17 |