NPI | 1356476758 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT OJASCASTRO Business Manager 314-353-2211 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207R00000X Internal Medicine |
Enumeration Date | 2007-02-23 |
Last Update Date | 2020-08-22 |