| NPI | 1700129145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY FREEMAN Clinical Manager 314-747-0770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QX0200X Clinic/Center Oncology (Licence: MO 2009005235) |
| Enumeration Date | 2013-04-04 |
| Last Update Date | 2013-04-04 |