| NPI | 1558335448 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID MARGOLIS Medical Director 314-373-8931 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: MO 170-0) |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2020-08-22 |