| NPI | 1639486798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | A J SQUITIERI President 314-353-5540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MO 28648) |
| Enumeration Date | 2010-09-09 |
| Last Update Date | 2010-09-09 |