| NPI | 1932311826 |
|---|---|
| Doing Business As | SLUCARE DEPT OF OTOLARYNGOLOGY PSG W/I HEAD AND NECK |
| Entity Type | Organization |
| Authorized Contact | ALYCE LANXON Exeuctive Director 314-977-6828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2021-09-21 |