| NPI | 1992029821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALE M STEGEMAN President 636-537-3100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MO 36313) |
| Enumeration Date | 2010-03-22 |
| Last Update Date | 2014-02-11 |