| NPI | 1376583211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE SCOFFIC CFO 314-251-1917 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
| 207Q00000X Family Medicine | |
| 111N00000X Chiropractor | |
| 207R00000X Internal Medicine | |
| 207RC0000X Internal Medicine Cardiovascular Disease | |
| 207RC0200X Internal Medicine Critical Care Medicine | |
| 207V00000X Obstetrics & Gynecology | |
| 208000000X Pediatrics | |
| 2084P0800X Psychiatry & Neurology Psychiatry | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2025-04-30 |