| NPI | 1972684579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN B BAGWELL Owner/CEO 636-343-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MO 18988121) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2012-11-15 |