| NPI | 1558617035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYED TANVEER HAIDER Manager 636-222-3070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology (Licence: MO LC1185408) |
| Enumeration Date | 2012-08-02 |
| Last Update Date | 2012-08-02 |