NPI | 1417459207 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES SNIDER VP Physician Network 636-685-7804 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 207Q00000X Family Medicine |
207R00000X Internal Medicine | |
Enumeration Date | 2018-03-07 |
Last Update Date | 2021-04-06 |