| NPI | 1912150467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOMSAK LOPANSRI Principle 314-921-7300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center Urgent Care (Licence: MO 35172) |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2008-11-10 |