NPI | 1609942747 |
---|---|
Doing Business As | PHEASANT POINT PHYSICIANS |
Entity Type | Organization |
Authorized Contact | RAYMOND P DAVIDSON President 314-286-2028 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2006-11-28 |
Last Update Date | 2008-03-26 |