| NPI | 1184757072 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANANDA DESILVA Physician Owner 314-731-5555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RA0000X Internal Medicine, Adolescent Medicine (Licence: MO R9845) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2020-08-22 |