| NPI | 1235394396 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL ALTSHELER Physician/Owner 314-739-3990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO R7222) |
| Enumeration Date | 2008-07-28 |
| Last Update Date | 2013-08-13 |