NPI | 1972027928 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSEPH PRAVOOT GIRA Chief Medical Officer 314-909-0633 |
Organization Subpart ? | No |
Primary Taxonomy | 156FX1800X Technician/Technologist, Optician |
Enumeration Date | 2017-08-01 |
Last Update Date | 2022-12-21 |