| NPI | 1508904863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WARREN MARK BREITE Physician 636-937-3121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MO 106261) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2009-09-28 |