| NPI | 1538289343 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOYCE A HOLMES Medical Secretary 314-355-3175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MO 35075) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2020-08-22 |