| NPI | 1124166434 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINA CALDER President 636-916-9401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 282N00000X General Acute Care Hospital | |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2021-03-16 |