| NPI | 1649524711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN WILSON Office Manager 636-536-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
| Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine |
| Enumeration Date | 2012-10-29 |
| Last Update Date | 2012-10-29 |