| NPI | 1962442475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHY L EGHIGIAN Senior Director Managed Care 314-273-0770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 2085N0904X Radiology Nuclear Radiology |
| 2085P0229X Radiology Pediatric Radiology | |
| 2085R0202X Radiology Diagnostic Radiology | |
| 2085R0204X Radiology Vascular & Interventional Radiology | |
| 2085N0700X Radiology Neuroradiology | |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2025-04-25 |