| NPI | 1003929407 |
|---|---|
| Doing Business As | FAMILY MEDICINE AT DEPAUL |
| Entity Type | Organization |
| Authorized Contact | LAURA LYNN PULLUM Director Of Patient Accounts 314-209-8121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2020-08-22 |