| NPI | 1063484434 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK A SCHEPERLE Delegated Official 314-862-7711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO F22892) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 101625) |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2024-05-03 |