NPI | 1477876423 |
---|---|
Doing Business As | INNOVARE HEALTH ADVOCATES |
Entity Type | Organization |
Authorized Contact | CHARLES J. WILLEY Owner/Physician 314-843-4794 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Enumeration Date | 2010-03-04 |
Last Update Date | 2020-03-12 |