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