NPI | 1053487132 |
---|---|
Doing Business As | CENTRAL MEDICAL GROUP |
Entity Type | Organization |
Authorized Contact | RAYMOND P DAVIDSON President 314-286-2028 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2006-11-28 |
Last Update Date | 2008-03-26 |