| NPI | 1649426768 |
|---|---|
| Doing Business As | THE IMAGING CENTER AT ST. JOSEPH MEDICAL PARK |
| Entity Type | Organization |
| Authorized Contact | SHERLYN HAILSTONE President 636-947-5076 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Enumeration Date | 2008-08-08 |
| Last Update Date | 2008-08-08 |