| NPI | 1679896716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADELUOLA G LIPEDE President 314-522-1888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MO R7F89) |
| Additional Taxonomies | 208D00000X General Practice (Licence: MO R7F89) |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: MO R7F89) | |
| Enumeration Date | 2010-03-03 |
| Last Update Date | 2010-05-17 |