| NPI | 1629381751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD A PURO President 314-838-0222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: MO R7135) |
| Enumeration Date | 2010-07-19 |
| Last Update Date | 2010-07-19 |