| NPI | 1225225279 |
|---|---|
| Doing Business As | ST ANTHONY'S GASTROENTEROLOGY |
| Entity Type | Organization |
| Authorized Contact | DAVE HINKLE Executive Director 314-543-5903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO R8411) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2007-10-03 |
| Last Update Date | 2010-08-04 |