| NPI | 1538118492 |
|---|---|
| Doing Business As | FAMILY MEDICINE OF ST LOUIS |
| Entity Type | Organization |
| Authorized Contact | JERRIE K WEITH Business Advisor 618-779-5508 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2020-08-22 |