| NPI | 1013329150 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICK SONNE Exec Director 314-576-2490 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| Enumeration Date | 2014-05-23 |
| Last Update Date | 2018-03-17 |