| NPI | 1750581666 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRIE KLEEKAMP Office Administrator 314-839-1211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist |
| Enumeration Date | 2007-07-19 |
| Last Update Date | 2022-09-28 |