| NPI | 1588825731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY ELLIOTT Account Manager 314-878-2944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MO 100729) |
| Enumeration Date | 2008-06-20 |
| Last Update Date | 2008-08-20 |