| NPI | 1407232804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN REWERTS Regional CFO/ Authorized Official 314-989-2034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| 367H00000X Anesthesiologist Assistant | |
| Enumeration Date | 2015-08-07 |
| Last Update Date | 2015-08-07 |