| NPI | 1417459207 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARREN R. HASKELL Chief Medical Officer 314-205-6444 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2018-03-07 |
| Last Update Date | 2025-12-12 |