| NPI | 1649466038 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL RAU Chairman 636-390-1400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2008-10-20 |