| NPI | 1255747267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | L. C. TUNSTALL-ROBINSON Owner 314-361-0477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 35725) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036-058285) |
| Enumeration Date | 2014-07-10 |
| Last Update Date | 2014-07-17 |