| NPI | 1497736979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATT STOVERINK Lt./Medical Officer 314-963-8612 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3416L0300X Ambulance, Land Transport (Licence: MO 189090) |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2008-08-06 |