NPI | 1164553483 |
---|---|
Doing Business As | ALTON INTERNAL MEDICINE |
Entity Type | Organization |
Authorized Contact | RAYMOND P DAVIDSON President 314-286-2028 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Enumeration Date | 2007-03-08 |
Last Update Date | 2008-01-04 |