| NPI | 1629179445 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STANLEY MATHEW Partner 636-441-7174 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MO 19074131) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2020-08-22 |