| NPI | 1174505127 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MINDY D POWELL Administrator 314-983-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 213E00000X Podiatrist |
| 207RG0100X Internal Medicine Gastroenterology | |
| 207RR0500X Internal Medicine Rheumatology | |
| 207RC0000X Internal Medicine Cardiovascular Disease | |
| 207N00000X Dermatology | |
| 207Q00000X Family Medicine | |
| 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism | |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2024-07-02 |