NPI | 1508062316 |
---|---|
Entity Type | Organization |
Authorized Contact | HEATHER CAROLYN WILLIAMSON Owner And Physician Partner 314-291-3409 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2007-06-27 |
Last Update Date | 2007-10-17 |