| NPI | 1184932824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARLENE BYRD Office Manager 314-647-5300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: ZZ A59661504) |
| Enumeration Date | 2010-09-15 |
| Last Update Date | 2010-09-21 |