| NPI | 1528378437 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE LYNN PALOMBI President 636-639-9422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MO T02651) |
| Enumeration Date | 2010-10-13 |
| Last Update Date | 2010-10-13 |