| NPI | 1568028173 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARLA PARTAIN Billing Manager 314-487-7215 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WR0006X Registered Nurse, Registered Nurse First Assistant |
| Enumeration Date | 2019-05-20 |
| Last Update Date | 2019-05-20 |