NPI | 1396889218 |
---|---|
Doing Business As | PHEASANT POINT PHYSICIANS |
Entity Type | Organization |
Authorized Contact | RAYMOND P DAVIDSON President 314-286-2028 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2007-02-16 |
Last Update Date | 2008-01-04 |