| NPI | 1871689505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN ROOT Partner 636-947-4480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2022-02-16 |