| NPI | 1871542761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAD SACKMAN CEO 314-849-0311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207KA0200X Allergy & Immunology, Allergy |
| 207N00000X Dermatology | |
| 207RG0100X Internal Medicine, Gastroenterology | |
| 207T00000X Neurological Surgery | |
| 207V00000X Obstetrics & Gynecology | |
| 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology | |
| 208000000X Pediatrics | |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine | |
| 208600000X Surgery | |
| 208C00000X Colon & Rectal Surgery | |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2024-08-08 |