| NPI | 1578824256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RON JAVDAN President/Physician 314-434-1399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO R8435) |
| Enumeration Date | 2012-05-30 |
| Last Update Date | 2012-05-30 |