| NPI | 1629285176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARRYL S COHEN President 636-519-8899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: MO ric34) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2008-10-15 |