| NPI | 1689072324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES SNIDER VP Physician Network 636-685-7804 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2014-12-11 |
| Last Update Date | 2021-02-12 |