| NPI | 1811268428 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH MICHAEL SERIA Physician 314-647-2777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: MO 31739) |
| Enumeration Date | 2012-01-13 |
| Last Update Date | 2012-01-13 |