| NPI | 1467533372 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE PALETTA Owner 314-392-5060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: MO 114741) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2007-10-09 |