| NPI | 1548508955 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER MICHAEL PERRY President 314-749-2696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO r4n70) |
| Enumeration Date | 2013-01-18 |
| Last Update Date | 2023-04-16 |