| NPI | 1801134697 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK J AGUIAR Pediatric Nurse Practitioner 314-884-2191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TX 667240) |
| Enumeration Date | 2013-01-29 |
| Last Update Date | 2013-01-29 |