NPI | 1124463401 |
---|---|
Entity Type | Organization |
Authorized Contact | CALEB SUTTON Business Operations Manager 618-833-1691 |
Organization Subpart ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036091188) |
Enumeration Date | 2013-05-01 |
Last Update Date | 2018-01-04 |