NPI | 1780075499 |
---|---|
Doing Business As | SLU SPORTS MEDICINE |
Entity Type | Organization |
Authorized Contact | JOHN IRWIN Asst. Director For Sports Medicine 985-549-5133 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2015-02-17 |
Last Update Date | 2015-02-17 |