NPI | 1376305292 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES GERA Chief Financial Officer 314-368-4224 |
Organization Subpart ? | No |
Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
163W00000X Registered Nurse | |
207RG0300X Internal Medicine, Geriatric Medicine | |
363LG0600X Nurse Practitioner, Gerontology | |
Enumeration Date | 2024-01-25 |
Last Update Date | 2024-01-25 |