| NPI | 1801060108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISABEL L ROSENBLOOM President 314-291-7766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO R6G08) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO R7C02) |
| Enumeration Date | 2008-04-17 |
| Last Update Date | 2012-02-15 |