| NPI | 1407970288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD A. BLIGH Physician 314-721-0666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO MD102881) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2020-08-22 |