IDIM

WILDWOOD, MO
NPI1588912448
Entity TypeOrganization
Authorized ContactALEXANDRE LACASSE
President
636-273-5311
Organization Subpart ?No
Primary Taxonomy207RI0200X Internal Medicine, Infectious Disease
(Licence: MO  2006028227)
Enumeration Date2012-08-27
Last Update Date2012-11-16
Business Address
IDIM
1909 LARIMER TRL
WILDWOOD, MO 63011-4801
Phone number: 636-273-5311
Mailing Address
IDIM
1909 LARIMER TRL
WILDWOOD, MO 63011-4801
Phone number: 636-273-5311