NPI | 1659512739 |
---|---|
Entity Type | Organization |
Authorized Contact | PATRICK B MCDONOUGH President 314-291-8824 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MO 2007012223) |
Enumeration Date | 2009-03-18 |
Last Update Date | 2009-09-01 |