| NPI | 1366681512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARI F WARD Practice Manager 314-660-3191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MO 2004035776) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MO 2004035776) |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: MO 2004035776) | |
| Enumeration Date | 2009-02-11 |
| Last Update Date | 2009-04-01 |