| NPI | 1538439435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IBRAHIM SULEMAN UMAR President 636-922-9182 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MO R8426) |
| Enumeration Date | 2012-01-09 |
| Last Update Date | 2012-05-22 |