| NPI | 1861680316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK OGDEN PETKOVICH Doctor 314-432-6500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MO R5882) |
| Enumeration Date | 2007-10-10 |
| Last Update Date | 2024-05-07 |