NPI | 1629043534 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL E MCCADDEN Owner President 314-251-3376 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: MO BM0655588) |
Enumeration Date | 2006-02-22 |
Last Update Date | 2012-11-30 |