| NPI | 1649680638 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT MICHAEL WEST Owner 314-720-0050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: MO 2014010407) |
| Enumeration Date | 2014-04-30 |
| Last Update Date | 2015-05-19 |