| NPI | 1922093632 |
|---|---|
| Doing Business As | CLINICAL PET OF ST CHARLES COUNTY |
| Entity Type | Organization |
| Authorized Contact | STEVEN MICHAEL MCRAE Managing Member 618-659-1167 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2005-09-19 |
| Last Update Date | 2020-08-22 |