| NPI | 1639534654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA FLEMING Billing Office 314-628-1408 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MO r4n72) |
| Enumeration Date | 2015-12-17 |
| Last Update Date | 2015-12-17 |