| NPI | 1013414317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES SNIDER V. P. Physician Netowrk 636-685-7804 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2018-04-12 |
| Last Update Date | 2022-11-03 |