| NPI | 1457722076 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL MATEJKA CFO East Communities & Sfo 314-251-1958 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology |
| Enumeration Date | 2015-10-08 |
| Last Update Date | 2019-01-04 |