| NPI | 1376598599 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN JOHNSON President 314-989-2072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease |
| Additional Taxonomies | 207RP1001X Internal Medicine Pulmonary Disease |
| 2080N0001X Pediatrics Neonatal-Perinatal Medicine | |
| 2084N0400X Psychiatry & Neurology Neurology | |
| 2086S0127X Surgery Trauma Surgery | |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2019-02-14 |