NPI | 1073999520 |
---|---|
Entity Type | Organization |
Authorized Contact | STEVEN W BAAK Medical Director 314-942-6464 |
Organization Subpart ? | No |
Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: MO 105235) |
Enumeration Date | 2015-08-07 |
Last Update Date | 2016-04-18 |