| NPI | 1588991509 |
|---|---|
| Doing Business As | ST LOUIS MEDICAL |
| Entity Type | Organization |
| Authorized Contact | CHILDEBERT ST LOUIS Medical Director 845-476-1460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 250239) |
| Enumeration Date | 2009-11-12 |
| Last Update Date | 2021-04-30 |