| NPI | 1740839893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS RYAN REEVES Physician 314-392-5029 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine |
| Enumeration Date | 2019-09-10 |
| Last Update Date | 2019-09-10 |