NPI | 1659504116 |
---|---|
Entity Type | Organization |
Authorized Contact | DAWN G. STEWART Clinical Director 636-449-3990 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0200X Clinic/Center, Radiology (Licence: MO LC0944110) |
Enumeration Date | 2009-09-01 |
Last Update Date | 2012-04-24 |