| NPI | 1093037038 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN RALPH CRESPIN President 314-432-1128 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MO R3994) |
| Enumeration Date | 2010-02-18 |
| Last Update Date | 2010-02-18 |