| NPI | 1801100748 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA ISLAND Office Manager 314-291-2500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MO R9270) |
| Enumeration Date | 2010-08-03 |
| Last Update Date | 2010-08-03 |