| NPI | 1598823478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID NORMAN KANTOR President, Physician 314-821-6889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MO R8687) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2008-05-05 |