| NPI | 1467450023 |
|---|---|
| Former Legal Business Name | GENERAL PRACTICE INC |
| Entity Type | Organization |
| Authorized Contact | REYNAL LEON CALDWELL CEO Physician 314-521-7768 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO R5E11) |
| Enumeration Date | 2005-07-08 |
| Last Update Date | 2013-05-03 |