| NPI | 1629304423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY M KLIX Owner 314-443-6465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MO 112773) |
| Enumeration Date | 2009-10-29 |
| Last Update Date | 2009-12-07 |