| NPI | 1114348380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLEN SCHNEIDER Associate VP 314-741-0911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: MO 132113) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease |
| 261QR0200X Clinic/Center Radiology | |
| Enumeration Date | 2013-12-13 |
| Last Update Date | 2022-02-25 |