| NPI | 1427441492 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAYA MARIE GUARIGLIA Surgical First Assistant 636-345-1305 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
| Enumeration Date | 2015-03-14 |
| Last Update Date | 2015-03-20 |