| NPI | 1114789260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES GERA Chief Executive Officer 314-368-4224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine Geriatric Medicine |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| 163W00000X Registered Nurse | |
| 207RG0300X Internal Medicine Geriatric Medicine | |
| 363LG0600X Nurse Practitioner Gerontology | |
| Enumeration Date | 2024-01-24 |
| Last Update Date | 2024-01-24 |