| NPI | 1972912087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHY EGHIGIAN Senior Director Wu Managed Care 314-273-0770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2014-08-04 |
| Last Update Date | 2025-05-02 |