| NPI | 1699001040 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID M PEEPLES Sole Member 636-537-0525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MO R3L66) |
| Enumeration Date | 2009-10-20 |
| Last Update Date | 2009-10-20 |