| NPI | 1649468786 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY BODET RN/Office Manager 314-644-5650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MO R1E18) |
| Enumeration Date | 2007-10-12 |
| Last Update Date | 2007-11-15 |