| NPI | 1548345838 |
|---|---|
| Doing Business As | DAVID BERWALD MD |
| Entity Type | Organization |
| Authorized Contact | BRUCE BERWALD Owner 314-739-8200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: MO 114322) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2020-08-22 |