| NPI | 1942491659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRSTEN M MCDANIEL President 636-928-4884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MO 2004016557) |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2007-08-07 |