| NPI | 1275621070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES SNIDER VP Physician Network 636-685-7804 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207RP1001X Internal Medicine Pulmonary Disease | |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2020-12-04 |