| NPI | 1053799007 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID R HORACE Managing Member 618-973-8740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology |
| Additional Taxonomies | 261QR0200X Clinic/Center, Radiology |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2022-03-16 |