| NPI | 1326524604 |
|---|---|
| Doing Business As | ST. GABRIEL CLINIC |
| Entity Type | Organization |
| Authorized Contact | DANIEL DESTA BEKELE Medical Dirctor 314-230-9050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2018-07-19 |
| Last Update Date | 2019-06-11 |