| NPI | 1356071708 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABDIRAHIM MOHAMED RASHID Owner / Authorized Official 314-362-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 363LF0000X Nurse Practitioner Family | |
| Enumeration Date | 2022-06-16 |
| Last Update Date | 2022-06-16 |