NPI | 1922131283 |
---|---|
Entity Type | Organization |
Authorized Contact | DEBORAH S RAGSDALE Billing Manager 314-439-0800 |
Organization Subpart ? | No |
Primary Taxonomy | 163WP0200X Registered Nurse, Pediatrics (Licence: MO 296-15) |
Enumeration Date | 2007-03-14 |
Last Update Date | 2020-08-22 |