| NPI | 1912115619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY MYERS Owner 314-843-8222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MO R5513) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2008-01-28 |