| NPI | 1699959619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD H LANGE Sole Proprietor 314-849-7372 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MO R1B73) |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2007-12-27 |