| NPI | 1528830163 |
|---|---|
| Doing Business As | INTEGRIS HEALTH MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | DONNA WALLACE Assistant Treasurer 636-359-4890 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207VG0400X Obstetrics & Gynecology, Gynecology | |
| 207VX0000X Obstetrics & Gynecology, Obstetrics | |
| 208000000X Pediatrics | |
| Enumeration Date | 2023-10-26 |
| Last Update Date | 2024-10-24 |