| NPI | 1437762309 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAN ALONZO Vice President And Secretary 314-320-2450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2020-08-28 |