| NPI | 1538127444 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA S HUFFMAN VP Managed Care Services 636-549-2384 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME66068) |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2020-08-22 |