| NPI | 1558508606 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL S. ECKENFELS CFO 636-933-1107 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: MO 2007029096) |
| Enumeration Date | 2009-01-12 |
| Last Update Date | 2013-03-12 |