| NPI | 1992087266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAN VEST CEO 314-849-0311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2011-09-13 |
| Last Update Date | 2011-12-27 |