NPI | 1487121398 |
---|---|
Former Legal Business Name | CAO & ASSOCIATES MEDICINE PLLC |
Entity Type | Organization |
Authorized Contact | SHIMIN CAO Owner 618-559-6549 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2018-10-29 |
Last Update Date | 2019-05-03 |