| NPI | 1508995333 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT MINEMIER Office Manager 314-434-3240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MO R9919) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MO 2017013108) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2023-06-15 |