| NPI | 1104891159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA GOMES President 314-368-0824 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MI CM040033) |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2023-11-17 |