| NPI | 1538915210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY GIBBS Managing Director 636-751-5598 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2024-04-24 |
| Last Update Date | 2024-05-06 |