NPI | 1396201307 |
---|---|
Doing Business As | MYCATHOLICDOCTOR |
Entity Type | Organization |
Authorized Contact | KATHLEEN MARY BERCHELMANN CEO 314-435-6105 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics |
Enumeration Date | 2019-02-14 |
Last Update Date | 2022-05-03 |