| NPI | 1184803579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIVIAN LORRAINE MCCREE Office Manager 314-645-3400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 26712) |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MO 26712) |
| Enumeration Date | 2007-11-01 |
| Last Update Date | 2007-11-01 |