| NPI | 1710204995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALYCE LANXON Executive Director 314-977-6828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MO 2010003185) |
| Enumeration Date | 2010-04-27 |
| Last Update Date | 2021-09-21 |