| NPI | 1861857013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBER COOPER Medical Director 314-791-6290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: IL 036139075) |
| Enumeration Date | 2015-12-15 |
| Last Update Date | 2024-02-12 |