| NPI | 1093794927 |
|---|---|
| Doing Business As | FAMILY MEDICINE CLINIC |
| Entity Type | Organization |
| Authorized Contact | ROBERT J OLIVER Doctor Office Manager 636-240-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-01-10 |
| Last Update Date | 2020-08-22 |