| NPI | 1003027988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD ALLAN BLIGH Medical Director 314-994-1536 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 102881) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2007-12-27 |