| NPI | 1669523270 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA D WILLIS Office Administrator 314-997-0554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MO R4F99) |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2008-04-25 |