NPI | 1528032711 |
---|---|
Entity Type | Organization |
Authorized Contact | NICOLAS LLORENS Medical Director 573-449-3500 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MO 143-1) |
Enumeration Date | 2006-02-14 |
Last Update Date | 2020-06-12 |