| NPI | 1295134633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM TALBOTT SCHMIDT Manager 314-892-8787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 111N00000X Chiropractor |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2014-08-21 |
| Last Update Date | 2014-08-21 |