Institute of Personalized Medicine LLC

NPI #1407314263 in Clayton, Missouri

Provider Information

NPI Number: 1407314263
Entity Type: Organization
Organization Name: Institute of Personalized Medicine LLC
Primary Specialty: Neurological Surgery
Enumeration Date: Mar 11, 2019
Last Updated: Mar 11, 2019

Practice Location

Address: 7721 CLAYTON RD
City: Clayton
State: Missouri
ZIP Code: 63117-1301
Phone: (314) 546-6072

Authorized Official

Name: TERRENCE CHAVIS
Title: OWNER
Phone: (314) 546-6072

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Neurological Surgery	207T00000X	Primary

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