| NPI | 1487627717 |
|---|---|
| Doing Business As | SLUCARE DEPARTMENT OF FAMILY & COMMUNITY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | ALYCE LANXON Executive Director 314-977-6828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2021-09-21 |