NPI | 1972651578 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTOPHER P CREIGHTON Owner 314-966-9162 |
Organization Subpart ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: MO MO110005) |
Enumeration Date | 2007-01-08 |
Last Update Date | 2015-06-26 |