| NPI | 1154665248 |
|---|---|
| Doing Business As | INSTITUTE FOR FAMILY MEDICINE COMMUNITY CLINIC |
| Entity Type | Organization |
| Authorized Contact | MARY C CAPPEL VP & Cbo 314-849-7669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2012-11-15 |