| NPI | 1679503668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN CANTER-KOESTER VP Operations And Strategy 314-996-7610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2020-07-16 |