| NPI | 1972666162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT B CUSWORTH President, Boonslick Med. Group Inc 636-947-3392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2022-07-21 |