| NPI | 1093042566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FELICIA RENAE BENTLEY Owner 314-438-0700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: IL 036107319) |
| Enumeration Date | 2009-11-04 |
| Last Update Date | 2023-08-09 |