| NPI | 1912229147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL JOSEPH SPEZIA Doctor 314-385-7161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: MO R8660) |
| Enumeration Date | 2010-02-15 |
| Last Update Date | 2012-01-23 |