| NPI | 1457442907 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL K LANE Director 314-993-8100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies (Licence: MO 18411550) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2007-10-25 |