| NPI | 1801628912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN WILLIAMS Authorized Official 314-312-6090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-08-16 |
| Last Update Date | 2024-08-16 |