| NPI | 1497943393 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES SNIDER V. P. Physician Network 636-685-7804 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease |
| Enumeration Date | 2007-10-05 |
| Last Update Date | 2021-04-26 |