| NPI | 1992955926 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENT D BRANSON Owner/President 314-991-2229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MO R8E38) |
| Enumeration Date | 2008-09-26 |
| Last Update Date | 2018-02-12 |