| NPI | 1962460428 |
|---|---|
| Doing Business As | MIDWEST BREAST CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | SHARON MODICA Owner 314-567-5445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology |
| Additional Taxonomies | 261QR0206X Clinic/Center, Radiology, Mammography |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2020-08-22 |