| NPI | 1568734994 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF BUCK Interiem Chief Executive Officer 636-933-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism (Licence: MO 2009008025) |
| Additional Taxonomies | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism (Licence: MO 2010010722) |
| 207RR0500X Internal Medicine Rheumatology (Licence: MO 2009017530) | |
| Enumeration Date | 2012-02-01 |
| Last Update Date | 2012-02-01 |