| NPI | 1558370528 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN ABAD President 314-996-8401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 208D00000X General Practice |
| 282N00000X General Acute Care Hospital | |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2023-01-20 |