| NPI | 1265566780 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL A MONTEMAYOR Office Manager 314-454-6903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MO 107492) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2016-07-08 |