| NPI | 1801087481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE KIM NELSON-MASON Director 636-255-3003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MO 2005000368) |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2007-08-07 |