| NPI | 1790438216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS COX Owner 636-226-6504 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085U0001X Radiology, Diagnostic Ultrasound |
| Additional Taxonomies | 261QR0200X Clinic/Center, Radiology |
| Enumeration Date | 2022-02-03 |
| Last Update Date | 2022-02-03 |