NPI | 1396703278 |
---|---|
Entity Type | Organization |
Authorized Contact | MELODY ESKRIDGE President 314-879-6234 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease |
207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism | |
207RG0100X Internal Medicine, Gastroenterology | |
207RI0200X Internal Medicine, Infectious Disease | |
207RN0300X Internal Medicine, Nephrology | |
207RP1001X Internal Medicine, Pulmonary Disease | |
207RR0500X Internal Medicine, Rheumatology | |
207V00000X Obstetrics & Gynecology | |
207Y00000X Otolaryngology | |
2084P0800X Psychiatry & Neurology, Psychiatry | |
2085B0100X Radiology, Body Imaging | |
208800000X Urology | |
208C00000X Colon & Rectal Surgery | |
Enumeration Date | 2006-05-02 |
Last Update Date | 2010-07-21 |