| NPI | 1619929726 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS N GLASCOCK President/Owner 636-916-5551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2020-08-22 |