| NPI | 1487900684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC WILLIAM WERNER President 314-351-2500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: MO 2012023237) |
| Enumeration Date | 2012-07-25 |
| Last Update Date | 2012-08-20 |