| NPI | 1013170679 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM G BOWEN President 314-367-3113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease |
| 207RG0100X Internal Medicine, Gastroenterology | |
| 207RP1001X Internal Medicine, Pulmonary Disease | |
| 207RR0500X Internal Medicine, Rheumatology | |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2008-07-03 |