| NPI | 1871663559 |
|---|---|
| Doing Business As | LA CLINICA |
| Entity Type | Organization |
| Authorized Contact | DAVID C. CAMPBELL Medical Director 314-664-5565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251V00000X Voluntary or Charitable (Licence: MO R1H15) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2020-08-22 |