| NPI | 1558630053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEV FINGERHOOD Corporation President 636-916-5575 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MO MD100875) |
| Enumeration Date | 2011-12-29 |
| Last Update Date | 2011-12-29 |