| NPI | 1578705216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMELITA MARIA HUDSON-KANE Internal Medicine Physician 314-355-5300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MO MD101365) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: MO 101365) |
| Enumeration Date | 2009-03-26 |
| Last Update Date | 2018-06-21 |