| NPI | 1487890406 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES SNIDER VP Physician Network 636-685-7804 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2008-12-22 |
| Last Update Date | 2020-12-04 |