| NPI | 1225382013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERRY DUNGER Executive Director Finance 314-364-3707 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease |
| 207V00000X Obstetrics & Gynecology | |
| 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine | |
| 208100000X Physical Medicine & Rehabilitation | |
| 2084N0400X Psychiatry & Neurology Neurology | |
| 2086S0129X Surgery Vascular Surgery | |
| 208800000X Urology | |
| Enumeration Date | 2012-11-01 |
| Last Update Date | 2025-04-28 |